Endoscopic Partial Plantar Fasciotomy for Plantar Fasciitis

NewsBot · Sep 5, 2023

ENDOSCOPIC PLANTAR FASCIA RELEASE IN CASES OF CHRONIC RESISTANT
PLANTAR FASCIOPATHY
Mohammed Ali, Mohammed Redwan, Hassan Noaman & Moustafa Ibrahim
Egyptian Journal of Orthopaedic Research "EJOR" Volume 4, Issue 1, July - 2023: pp: 1-9 www.ejor.sohag-univ.edu.eg

Purpose : The intention of this study was to evaluate the efficacy of endoscopic plantar fascia release in
the therapy of resistive plantar fasciopathy. Material and Methods: 30 individuals with plantar
fasciopathy who had been recalcitrant to at least two forms of conservative therapy for at least six months
were selected to participate in a prospective research.. Most of our patients had already been clinically
diagnosed. Results: At 6 months after operation, the average AOFAS total score was significantly
increased from 35 (8-62) up to 85.5 (range, 71-100), (P < 0.001). The median VAS score was
significantly dropped from 10 (interquartile range, 9.25-10) up to 0 (interquartile range, 0-2.75) (P <
0.0001). The percentage of patients who scored good or exceptional on the Roles and Maudsley scale had
dramatically risen after 4 weeks, rising from 73% to 93% (28/30). There were no serious adverse events.
Conclusion: Endoscopic plantar fascia release is an efficient medication for people with relentless
resistant plantar fasciopathy.
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NewsBot · Sep 27, 2023

Endoscopic Plantar Fasciotomy as an Effective and Reliable Treatment for Plantar Fasciitis: An Overview of the Literature
Maria Papathanasiou et al
J Am Podiatr Med Assoc. 2023 Jul-Aug;113(4):21-239

Plantar fasciitis is a common cause of heel pain. The aim of this study was to review the current literature and attempt to clarify whether endoscopic plantar fasciotomy (EPF) is an effective and reliable treatment for plantar fasciitis in comparison with other invasive or noninvasive treatments. We performed an electronic search of the medical literature in PubMed database using combinations of the following keywords: plantar fasciitis, endoscopic treatment, and plantar aponeurosis. Overall, we had shown that patients had better scores following EPF/endoscopic plantar fascia release. The clinical scores were improved postoperatively and most of the patients were satisfied. Furthermore, the clinical trials showed that time to return to work or to previous activities was shorter compared with other treatments. These studies suggest that EPF/endoscopic plantar fascia release is probably an effective treatment of chronic plantar fasciitis. EPF is an efficient, safe treatment with good early postoperative results in patients with recalcitrant plantar fasciitis. There is evidence that other methods are equivalently effective for EPF, and some authors support that they should be considered as a second-line treatment because of their minimal invasive character and very low risk of complications; thus, more research is required.
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NewsBot · Jan 12, 2024

Retrospective Evaluation of Ultrasound Guided Percutaneous Plantar Fasciotomy With and Without Platelet Rich Plasma
Alexander Turner, BS et al
November 30, 2023

Plantar fasciitis is one of the most common foot conditions presenting to a foot and ankle specialist. Surgical treatment outcomes following plantar fasciotomy vary but short-term studies have reported excellent early pain relief and significant improvements in symptoms. This study evaluates patient reported pain scores collected pre- and post-op for patients who underwent percutaneous ultrasonic microtenotomy (PUT) plantar fasciotomy with PRP injection vs without the use of PRP. We compared pain visual analog scale (VAS) scores, for patients treated surgically by Orthopedic Surgery department of foot and ankle faculty members between December 2007 and December 2022. A total of 30 patients were identified that met inclusion and exclusion criteria. Our results showed that there was a significant decrease in pain VAS scores from pre-op visit (at least 1 month prior to operation) to post-op visit (at least 1 month following operation) for both groups, with a paired t test (p value <.0001). However, patients who received PRP had a statistically significant decrease in pain level compared to the group who did not receive PRP. Statistical analysis completed with a 2-sample t test (p-value <.0325). Our results found the mean time between the initial pre-op visit and last post-op follow-up visit was 19 months. The mean for time following surgical intervention was 10 months. The findings of our study suggest that the dual use of PUT and PRP to treat plantar fasciitis, could potentially lead to an improvement in pain reduction and longevity of pain relief.
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NewsBot · Feb 20, 2024

Effects of plantar fascia release and the use of foot orthoses affect biomechanics of the medial longitudinal arch of the foot. A cadaveric study
Jacobo Rodríguez-Sanz et al
Am J Phys Med Rehabil. 2024 Jan 12

Objective: To evaluate the effect of minimally invasive ultrasound-guided fascial release and a foot orthoses with first metatarsal head cut-out on the biomechanics of the medial longitudinal arch of the foot in cadaveric specimens.

Design: A cross-sectional study was designed (20 body-donors). Anthropometric measurements of the foot, foot posture index and the windlass test and force were measured in different conditions: unloaded, loaded position, with foot orthoses, after a 25% plantar fascia release and after a 50% release.

Results: For the anthropometric measurements of the foot, differences were found in foot length (p = 0.009), arch height (p < 0.001) and midfoot width (p = 0.019) when comparing the unloaded vs foot orthoses condition. When foot orthoses were compared with 25% plantar fascial release, differences were found in foot length (p = 0.014) and arch height (p < 0.001). In the comparation with 50% plantar fascial release, differences were found in the arch height (p < 0.001). A significant interaction between foot orthoses condition and grades was found in the arch height during the windlass test (p = 0.021).

Conclusion: The results indicate that the presence of foot orthoses leads to a significant increase in arch height compared to other conditions. Furthermore, when plantar fascia release is performed, the arch does not exhibit any signs of collapse.
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NewsBot · Mar 4, 2024

Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study
Kruse, Ryan C. MD; Volfson, Elena BA
Clinical Journal of Sport Medicine ():10.1097/JSM.0000000000001215, February 23, 2024. | DOI: 10.1097/JSM.0000000000001215

Objective:
To evaluate the long-term efficacy and safety of an ultrasonic fasciotomy for plantar fasciopathy.

Design:
Prospective observational study.

Setting:
Tertiary care academic medical center.

Participants:
Patients with chronic plantar fasciopathy refractory to standard, conservative treatments were included in this study.

Interventions:
Patients underwent ultrasonic fasciotomy of the plantar fascia.

Main Outcome Measures:
The primary outcome measures were change in visual analog scale at 12 and 52 weeks post-procedure compared with baseline as well as patients' self-reported satisfaction with the procedure.

Results:
Sixty-seven patients were included. There was a significant improvement in visual analog scale at all follow-up time points, with an average overall improvement of 5.87 (P < 0.0001). 94% of patients reported satisfaction with the outcomes of their procedure at 12 and 52 weeks. No procedural complications were seen.

Conclusions:
This study demonstrates that an ultrasonic fasciotomy is a safe and effective treatment option for chronic plantar fasciopathy, with continued symptom improvement and a high degree of patient satisfaction up to 52 weeks post-procedure.

Clinical Relevance:
These findings suggest that an ultrasonic fasciotomy should be considered for patients with chronic plantar fasciopathy refractory to conservative treatments.
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Endoscopic Partial Plantar Fasciotomy for Plantar Fasciitis

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Endoscopic Partial Plantar Fasciotomy for Plantar Fasciitis

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Neuroma recurrence after endoscopic decompression

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college athlete playing on partial PF tear??

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Share This Page

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