PMID: 18198092Jan 17, 2008Paper

Endoscopic partial plantar fasciotomy as a treatment alternative in plantar fasciitis

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
Cs Marafkó

Abstract

One of the most common causes of chronic heel pain is plantar fasciitis (ocalcaneal spur?). This condition most frequently occurs in patients over the age of 40. In most cases pain can be reduced or ceased by conservativ treatment, but in some patients therapy-resistant chronic pain can also develop. In these cases surgery may provide long term solution. The aim of this prospective observational study was to analyse the effectiveness of endoscopic surgery in patients with plantar fasciitis. Between 2001-2006 83 operations were performed on 74 patients (age: 47+/-11 years) by the same surgeon. All patients underwent conservative therapy before the operation, which did not solve their pain. In 41 cases the right and in 42 cases the left foot was affected. In 11 patients both sides had to be operated on. In each case endoscopic partial plantar fasciotomy was performed as described previously, modified by us. Patients were allowed to load full body weight on the operated foot on the first postoperative day. The patients' body mass index (BMI) was also recorded. Pain was assessed by using a visual analog scale (VAS) from 0-10. Patients had been followedup 1, 3, 6 and 12 months after surgery. Pain was significantly lower at every ass...Continue Reading

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