What is a Strayer procedure?

What is a Strayer procedure?

A gastrocnemius recession, or Strayer Procedure, is an operation designed to release the gastrocnemius muscle as a means of restoring it to a more normal anatomical length that promotes healthier gait, stance, and function of the foot and ankle.

How long does it take to recover from gastrocnemius recession?

Calf weakness: Some initial calf weakness occurs in all patients. This weakness typically resolves within 6-9 months of surgery. The average recovery period is approximately 6 weeks.

What is a Baumann?

Background: The Baumann procedure consists of intramuscular lengthening (recession) of the gastrocnemius muscle in the deep interval between the soleus and gastrocnemius muscles. The goal of the procedure is to increase ankle dorsiflexion when ankle movement is restricted by a contracted gastrocnemius muscle.

What happens after the gastrocnemius recession?

After a gastroc release, some patients experience nerve injury that results in irritation or numbness over the outside of the heel. This usually is temporary. In addition, some patients may notice a difference in the appearance of one calf compared to the other and temporary calf weakness.

How do you tighten your gastrocnemius muscles?

Calf stretch 2 Stand near a wall with one foot in front of the other, front knee slightly bent. Also bend your back knee, keeping your heel on the ground, as you lean toward the wall. Feel the stretch in the lower part of your calf muscle. Hold this stretch for 20-30 seconds.

What is a Gastroc recession?

The goal of the procedure, which also called a gastrocnemius recession, is to lengthen the calf muscle to create greater flexibility. In our technique, the fascia, or encasing tissue of the muscle, is divided to allow the muscle to gain one to two centimeters in length without damaging the muscle fibers.

How do you check gastrocnemius tightness?

The diagnosis of gastrocnemius tightness is primarily clinical using the Silfverskiold test, which shows an equinus deformity at the ankle with the knee extended but that disap- pears with the knee flexed.

How do you check for tight gastrocnemius?

The Silfverskiöld test differentiates gastrocnemius tightness from an achilles tendon contracture by evaluating ankle dorsiflexion with the knee extended and then flexed.

Why do my calves get tight when I sit?

Tight muscles may result from overuse or cramps, but several treatments and stretches can help. The calf muscles, or gastrocnemius and soleus muscles, are behind the shin bone, just above the ankles. They pull the heel up when a person is walking, running, or standing.

How is gastrocnemius recession done?

In gastrocnemius recession (GR), an incision is typically made on the back inside part of the lower leg to expose the gastrocnemius tendon. This is then sutured to the underlying tissue in a newly lengthened position. This has been shown to correct equinus deformity and improved kinematic function.

How to learn the gastrocnemius recession surgical technique?

Subscribe to get full access to this operation and the extensive Foot Surgery Atlas. Learn the Gastrocnemius recession surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Gastrocnemius recession surgical procedure.

How big is the pirovue gastrocnemius recession blade?

PiroVue® Gastrocnemius Recession System Blade Channel Hook Adjustable Tissue Protector Recession Blade 191.5 mm 69.1 mm 25 mm length 166.9 mm 2.7 mm 2 Silfverskiold Test 1. Patient is placed in supine position 2. The subtalar joint is held in the neutral position 3.

How does the retractor work in the gastrocnemius?

The retractor creates a working channel between these muscles. The working channel allows the surgeon to access the fascia of the gastrocnemius, a tight layer of connective tissue that encases the muscle fibers.

Can a recession be done on both soleus muscles?

• Recession can be done on both gastrocnemius and soleus muscles as identified by Silfverskiold test 2 Visualization of an Open Procedure • Improved visualization compared to endoscopic Convenience of Sterile Pack Kit • No endoscopic equipment required • No ancillary draping time or associated costs 1 Gastrocnemius Recession System