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J Foot Ankle Surg. 2015 Sep-Oct;54(5):856-9. doi: 10.1053/j.jfas.2015.02.008. Epub 2015 Jun 6.

Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy.

Author information

1
Orthopedist, Department of Orthopaedics, The Fourth People's Hospital of Siping, Siping, People's Republic of China.
2
Orthopedist, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China; Orthopedist, Department of Orthopaedics, Daqing Oilfields General Hospital, Daqing, People's Republic of China.
3
Assistant Professor, Department of Pathology, China-Japan Union Hospital of Jilin University, Jilin, People's Republic of China.
4
Assistant Professor, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China.
5
Assistant Professor, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China. Electronic address: xuyb09@mails.jlu.edu.cn.

Abstract

Plantar fasciitis, the most common cause of pain in the inferior heel, accounts for 11% to 15% of all foot symptoms requiring professional care among adults. The present study reports the results of a minimally invasive surgical treatment of chronic plantar fasciitis. All patients with plantar fasciitis who had undergone percutaneous latticed plantar fasciotomy at 3 clinical sites from March 2008 to March 2009 were included in the present study. The follow-up evaluations for this treatment were conducted using the Mayo clinical scoring system. We investigated 17 patients with recalcitrant chronic plantar fasciitis who had undergone this treatment within a follow-up period of ≥13 months. All procedures were performed in the clinic with the patient under local anesthesia. No wound infections or blood vessel or nerve damage occurred. At a mean follow-up period of 16.0 ± 2.29 (range 13 to 21) months, significant improvement was seen in the preoperative mean Mayo score (from 12.06 ± 2.54 to 89.76 ± 4.28, p < .001) and no patient had developed symptom recurrence. Also, none of the patients had developed complex regional pain syndrome. All patients were able to return to regular shoe wear by 3 weeks postoperatively. The technique of plantar fasciitis with percutaneous latticed plantar fasciotomy could be a promising treatment option for patients with recalcitrant chronic plantar fasciitis.

KEYWORDS:

calcaneus; fasciosis; heel pain; plantar fasciitis; surgery

PMID:
26058817
DOI:
10.1053/j.jfas.2015.02.008
[Indexed for MEDLINE]

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