Return to physical activity after gastrocnemius recession

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Rehabilitation Science

Background:

• Gastrocnemius muscle tightness can limit ankle mobility and athletic performance.
• Endoscopic gastrocnemius recession (EGR) is a surgical option to address this condition.
• Understanding the recovery timeline and return to activity is crucial for athletes.

Purpose of the Study:

• To prospectively evaluate the time to return to pre-operative physical activity levels after EGR.
• To assess functional outcomes and patient satisfaction following EGR in athletes.

Main Methods:

• 46 consecutive athletes underwent EGR on 48 feet, with a minimum 24-month follow-up.
• The Halasi Ankle Activity Score measured physical activity levels.
• Functional outcomes assessed via SF-36, AOFAS Hindfoot, and Olerud and Molander scores; patient satisfaction and pain also recorded.

Main Results:

• 91% of patients returned to their pre-operative level of physical activity, with a mean return time of 7.5 months.
• 98% returned to their pre-operative employment status in a mean of 3.6 months.
• Significant improvements were observed in SF-36, AOFAS, and Olerud and Molander scores, with 90% reporting good to very good satisfaction.

Conclusions:

• Endoscopic gastrocnemius recession facilitates a high rate of return to pre-operative sporting activity.
• The procedure demonstrates positive functional outcomes and patient satisfaction in athletes.