Evidence map›Paper›PMID 41393516›Full record

ArticleFoot & ankle orthopaedics2025

Pre- and Postoperative Gait After Proximal Medial Gastrocnemius Recession for Chronic Plantar Fasciitis: An Exploratory 3D Gait Analysis of 29 Patients.

Martin Okelsrud Riiser, Espen Ingvald Bengtson, Sandra Linnea Klund-Hansen, Ingvild Koren Maalen-Johansen, Marius Molund

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Article in Foot & ankle orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Martin Okelsrud RiiserDepartment of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Østfold Hospital, Grålum, Norway.ORCID https://orcid.org/0009-0000-3576-1414
Espen Ingvald BengtsonHuman Movement Scientist, Sunnaas Rehabilitation Hospital, Nesodden, Norway.
Sandra Linnea Klund-HansenHuman Movement Scientist, Sunnaas Rehabilitation Hospital, Nesodden, Norway.
Ingvild Koren Maalen-JohansenHuman Movement Scientist, Sunnaas Rehabilitation Hospital, Nesodden, Norway.
Marius MolundDepartment of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Østfold Hospital, Grålum, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Plantar fasciitis is a prevalent foot condition, often resolving without surgery. However, a subset of patients experiences persistent symptoms beyond 12 months, necessitating interventions like proximal medial gastrocnemius recession (PMGR). PMGR is hypothesized to alleviate plantar fasciitis by increasing ankle dorsiflexion. The procedure's effects on gait remain unclear. Methods: A subgroup of 29 patients with chronic plantar fasciitis, treated with PMGR and stretching as part of the Plantar Fasciitis Cohort Study, was selected for this preoperative and 3-month postoperative 3-dimensional gait analysis (3DGA) study. Eligibility criteria included symptoms persisting for more than 12 months, failure of conservative treatments, and confirmed gastrocnemius tightness. Gait analysis was performed using a 3D motion capture system. The primary outcome was maximal ankle dorsiflexion during stance. Secondary outcomes included other kinematic, kinetic, and tempo-spatial gait variables potentially influenced by PMGR, the Gait Deviation Index (GDI), and passive ankle dorsiflexion. Results: Maximal ankle dorsiflexion during stance showed no significant change postoperatively (13.5 degrees [12.2, 14.9] vs 14.3 degrees [13.2, 15.3], Conclusion: Findings suggest that gait patterns are relatively robust and that increased joint range of motion does not appear to affect gait mechanics 3 months postoperative based on a single-segment foot model. Further studies are needed to investigate these findings and to explore the biomechanical mechanisms underlying symptom improvement. Level of Evidence: Level IV, exploratory prospective cohort study.

Indexed as

3-dimensional gait analysisankle dorsiflexionplantar fasciitisproximal medial gastrocnemius recession

Identifiers

PMID41393516
PMCPMC12701274

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