1. Endoscopic Plantar Fasciotomy Through Two Medial Portals for the Treatment of Recalcitrant Plantar Fasciopathy.
- Author
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Al-Ashhab ME, Elbegawy HEA, and Hasan HAA
- Subjects
- Adult, Case-Control Studies, Endoscopy methods, Female, Follow-Up Studies, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures methods, Prospective Studies, Risk Assessment, Treatment Outcome, Arthroscopy methods, Conservative Treatment methods, Fasciitis, Plantar diagnosis, Fasciotomy methods, Pain Measurement
- Abstract
Plantar fasciopathy is a common cause of heel pain. Endoscopic plantar fasciotomy has the advantage of less surgical trauma and rapid recovery. The aim of the present prospective study was to delineate the results of endoscopic plantar fascia release through 2 medial portals. The present study included 2 groups. The first group included 27 feet in 25 patients that had undergone endoscopic plantar fascia release followed up for 19.7 (range 12 to 33) months. The second group, the control group, included 20 feet in 16 patients treated conservatively and followed up for 16.4 (range 12 to 24) months. The results of endoscopic plantar fascia release were superior to the conservative methods. The surgically treated group experienced significantly less pain, activity limitations, and gait abnormality. The presence of a calcaneal spur had no effect on the final postoperative score. In conclusion, endoscopic plantar fascia release through 2 medial portals is an effective procedure for treatment of resistant plantar fasciopathy that fails to respond to conservative management options., (Copyright © 2017 The American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
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