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Manuel Villanueva, MD, PhD
JAAOS - Journal of the American Academy of Orthopaedic Surgeons. 26(9):337, May 1, 2018
Ultrasound-guided proximal lengthening in patients with less marked gastrocnemius contracture demonstrated excellent preliminary results in most patients. The main indications for the surgical procedures were gastrocnemius contracture, noninsertional Achilles tendinopathy, equinus foot, plantar fasciitis, metatarsalgia, and tarsal tunnel syndrome. Pain and function improved significantly in all patients. There are few complications and contraindications. Bilateral procedures may be performed alone or in combination with other ultrasound-guided surgical techniques in an outpatient setting, with proximal or distal ultrasound-guided procedures. The procedure carries a steep learning curve.