Neurotomy of muscle branch of tibial nerve for gastrocnemius muscle hypertrophy

Objective To explore a simple,safe,effective treatment for calf muscle hypertrophy. Methods Typical patients with calf muscle hypertrophy were chosen. Local and intravenous anaesthesia were used. The incision was in the transverse striation of popliteal fossa. After medial gastrocnemius muscle branch and caput laterale musculi gastrocnemii branch of tibial nerve were found,confirmed with nerve stimulator,the branches were amputated. Results From September 2005,400 patients underwent this operation. In 6～24 months of follow-up,the effect of this operation was satisfied. The calf was minified 3.63 ±1.10cm (P 0.001). No damage in the leg's function. Conclusion The technology of this operation was simply,the effects were satisfied,the patients had little pain and recovered quickly. All of these were according with the principles of aesthetic mini trauma surgery.