Abstract

BACKGROUND: Calf hypertrophy is of concern to Asians. Liposuction and muscle resection are used with reasonable results. A technique of selective neurectomy of the medial gastrocnemius and soleus muscles is used to improve results of calf reduction. METHODS: Between 1999 and 2006, 700 patients underwent neurectomy of the medial gastrocnemius and half of the soleus muscle without liposuction. Gait analysis was performed on six and electromyographic studies were performed on 20 patients. Preoperative circumference was 34.1 cm. An anatomical study was performed on seven cadaver limbs. All branches of the popliteal nerve were noted. RESULTS: Reduction in circumference was 2.67 cm at 14 months. Short-term disability was noted in 2.57 percent. Complications were noted in less than 5 percent. Dissatisfaction was noted in 4 percent (28 of 700 patients). Electromyography showed denervation of the medial gastrocnemius. Gait analysis revealed normal gait. Anatomical studies showed the nerve to the soleus had a medial and lateral branch (seven of seven). One twig of the medial branch of the soleus muscle pierced and innervated the medial gastrocnemius muscle (three of seven). CONCLUSION: Selective neurectomy can offer an effective method of reducing calf circumference and improving contour.

Original languageEnglish
Pages (from-to)178-187
Number of pages10
JournalPlastic and Reconstructive Surgery
Volume122
Issue number1
DOIs
Publication statusPublished - Jul 2008

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Hypertrophy
Skeletal Muscle
Gait
Lipectomy
Electromyography
Denervation
Cadaver
Extremities
Clinical Studies
Muscles

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Selective neurectomy of the gastrocnemius and soleus muscles for calf hypertrophy: An anatomical study and 700 clinical cases",
abstract = "BACKGROUND: Calf hypertrophy is of concern to Asians. Liposuction and muscle resection are used with reasonable results. A technique of selective neurectomy of the medial gastrocnemius and soleus muscles is used to improve results of calf reduction. METHODS: Between 1999 and 2006, 700 patients underwent neurectomy of the medial gastrocnemius and half of the soleus muscle without liposuction. Gait analysis was performed on six and electromyographic studies were performed on 20 patients. Preoperative circumference was 34.1 cm. An anatomical study was performed on seven cadaver limbs. All branches of the popliteal nerve were noted. RESULTS: Reduction in circumference was 2.67 cm at 14 months. Short-term disability was noted in 2.57 percent. Complications were noted in less than 5 percent. Dissatisfaction was noted in 4 percent (28 of 700 patients). Electromyography showed denervation of the medial gastrocnemius. Gait analysis revealed normal gait. Anatomical studies showed the nerve to the soleus had a medial and lateral branch (seven of seven). One twig of the medial branch of the soleus muscle pierced and innervated the medial gastrocnemius muscle (three of seven). CONCLUSION: Selective neurectomy can offer an effective method of reducing calf circumference and improving contour.",
author = "Feng-Chou Tsai and Samir Mardini and Fong, {Tsorng Harn} and Kang, {Jiunn Horng} and Chou, {Chih Ming}",
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T1 - Selective neurectomy of the gastrocnemius and soleus muscles for calf hypertrophy

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AU - Kang, Jiunn Horng

AU - Chou, Chih Ming

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N2 - BACKGROUND: Calf hypertrophy is of concern to Asians. Liposuction and muscle resection are used with reasonable results. A technique of selective neurectomy of the medial gastrocnemius and soleus muscles is used to improve results of calf reduction. METHODS: Between 1999 and 2006, 700 patients underwent neurectomy of the medial gastrocnemius and half of the soleus muscle without liposuction. Gait analysis was performed on six and electromyographic studies were performed on 20 patients. Preoperative circumference was 34.1 cm. An anatomical study was performed on seven cadaver limbs. All branches of the popliteal nerve were noted. RESULTS: Reduction in circumference was 2.67 cm at 14 months. Short-term disability was noted in 2.57 percent. Complications were noted in less than 5 percent. Dissatisfaction was noted in 4 percent (28 of 700 patients). Electromyography showed denervation of the medial gastrocnemius. Gait analysis revealed normal gait. Anatomical studies showed the nerve to the soleus had a medial and lateral branch (seven of seven). One twig of the medial branch of the soleus muscle pierced and innervated the medial gastrocnemius muscle (three of seven). CONCLUSION: Selective neurectomy can offer an effective method of reducing calf circumference and improving contour.

AB - BACKGROUND: Calf hypertrophy is of concern to Asians. Liposuction and muscle resection are used with reasonable results. A technique of selective neurectomy of the medial gastrocnemius and soleus muscles is used to improve results of calf reduction. METHODS: Between 1999 and 2006, 700 patients underwent neurectomy of the medial gastrocnemius and half of the soleus muscle without liposuction. Gait analysis was performed on six and electromyographic studies were performed on 20 patients. Preoperative circumference was 34.1 cm. An anatomical study was performed on seven cadaver limbs. All branches of the popliteal nerve were noted. RESULTS: Reduction in circumference was 2.67 cm at 14 months. Short-term disability was noted in 2.57 percent. Complications were noted in less than 5 percent. Dissatisfaction was noted in 4 percent (28 of 700 patients). Electromyography showed denervation of the medial gastrocnemius. Gait analysis revealed normal gait. Anatomical studies showed the nerve to the soleus had a medial and lateral branch (seven of seven). One twig of the medial branch of the soleus muscle pierced and innervated the medial gastrocnemius muscle (three of seven). CONCLUSION: Selective neurectomy can offer an effective method of reducing calf circumference and improving contour.

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