I thought this was interesting. I recently reached out to several surgeons for live interviews and also to get some clinic-specific info about local housing that patients have asked about.
Dr. Thaller, definitely being one of them – especially the way Dr. Donghoon Lee looks up to him – attached his recent publication (the one he mentioned he was working on in his initial interview) on how a fasciotomy of the anterior portion of the lower leg in order to reduce acute compartment syndrome could affect strength and ROM.
In summary, the patients in the study who had a fasciotomy done during the initial surgery came back some 6yrs post-op to test both strength and ROM. They found that there was not a big decrease in dorsiflexion strength although some mentioned a slight ROM decrease. So maybe something to think about for patients considering internal nail lengthening of the tibias?...
Dr. Thaller’s info to patients:
https://imgur.com/a/GN6VpGhYou can see the screenshot of the abstract in English here:
https://imgur.com/J6ynBXzIf you can read German, you can access the actual pdf article here:
https://v1.gdapis.com/api/groovemember/download/oelih68759b3a103ef405bf0f254963ff308dThis matches up pretty well with what I experienced from my tibial lengthening as I got a partial tib-ant fasciotomy. I notice I have a bit less dorsiflexion ROM than my other side (maybe 2-3 degrees) although not nearly enough to affect me in any activity – although it does get a bit tight when directly trained with toe raises.
However! I have far more strength and size in my LL side than the other (I measure an inch bigger easy!). I strongly believe it’s due to the hyperplasia that occurred creating new muscle tissue and enough heavy training stimulus over the years to mature into bigger and stronger fibers.
Surgeons are always proud of their publications and as I receive any other interesting exclusives I’ll share if given permission.
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Topic: Prophylactic fasciotomy in tibial osteotomies (Read 473 times)