Gastrocnemius equinus contracture is associated with the development of a variety of chronic problems of the foot and ankle, including plantar fasciitis, hallux valgus, symptomatic adult acquired flatfoot, metatarsalgia, diabetic forefoot ulcers, and synovitis of the metatarsophalangeal joints. Gastrocnemius recession has become an important component in the treatment of such problems aggravated or precipitated by a clinically evident gastrocnemius equinus contracture. With proper attention to surgical technique and a good postoperative program to allow the lengthened tendon to be maintained during the healing phase, the Strayer technique can produce excellent results with minimal complications.
The Cleveland Clinic Foundation
Cleveland, Ohio, U.S.A.
University of California, Davis
Department of Orthopaedic Surgery
Sacramento, California, U.S.A.
Orthopaedic Surgery Associates
Ypsilanti, Michigan, U.S.A.
Address correspondence and reprint requests to James Holmes, M.D., Orthopaedic Surgery Associates, 5315 Elliott Drive, Suite 301, Ypsilanti, MI 48197.