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.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 06, 2015
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Xu Yanbin and Chu Haikun contributed equally to this study.
Identification
Copyright
© 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
