Abstract
Plantar fasciitis is one of the most common chief complaints seen in the foot and
ankle clinic. With a relatively benign course, most cases are self-limiting or amendable
to conservative therapy; ~90% of all plantar fasciitis cases will respond to these
methods. When conservative treatment and time fail, surgical intervention can be necessary
to improve outcomes. We present a novel method using Subchondroplasty® (SCP®; Zimmer Holdings, Inc.; Warsaw, IN) and revision fasciotomy in a case in which initial
fasciotomy had failed. After the patient had failed to improve, a worsening underlying
bone marrow lesion was identified at the origin of the plantar fascia; thus, SCP® was used with repeat fasciotomy. SCP® involves injecting calcium phosphate into bone marrow lesions to stimulate long-term
bone repair. At 10 months after SCP®, the patient remained pain free and had returned to running at the final follow-up
examination. This surgical treatment should be considered as an adjunctive procedure
for those patients with plantar fasciitis, identifiable bone marrow lesions on magnetic
resonance imaging, and continued pain when other treatment modalities have failed.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: April 06, 2018
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
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- ErratumThe Journal of Foot and Ankle SurgeryVol. 57Issue 6
- PreviewIn regard to the report: “Surgical Treatment of Bone Marrow Lesion associated with Recurrent Plantar Fasciitis: A Case Report Describing an Innovative Technique Using Subchondroplasty®,” by Bernhard K, Ng A, Kruse D, Stone PA; published in The Journal of Foot & Ankle Surgery online April 6, 2018, and in our July–August 2018, Volume 57, Issue 4, p811–815, author Alan Ng discloses that he serves as a consultant for Zimmer Biomet, of Warsaw, Indiana, the company that promotes the Subchondroplasty® procedure.
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