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Posted on Feb 3, 2022, 2:55 am
#1

For tibial lengthening, I read that gastrocnemius recession is necessary if the patient lengthens somewhere between 4.0cm to 4.5cm or more. Does that mean if tibial lengthening is done below a certain limit (such as under 3.6cm), gastrocnemius recession is not necessary?

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Posted on Feb 4, 2022, 12:20 am
#2

In addition to Height Journey's reference (which I also found), here is another study by Dr Rozbruch.

https://www.hss.edu/files/LL-role-and-outcome-of-gastrocnemius-recession-in-tibial-lengthening.pdf

Role and Outcome of Gastrocnemius Recession in Tibial Lengthening

Risk factors that led to need for GR were amount and percent of lengthening of 49 mm and 15% [of original tibia length] respectively, congenital etiology, and previous surgery.

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