Endoscopic Subtotal Fasciectomy of the Foot

Lui, Tun Hing

doi:10.1016/j.eats.2016.08.005

Cited by 8 publications

(4 citation statements)

References 9 publications

(40 reference statements)

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“…Kadir and Chandraskar mentioned a recurrence rate of 6% in 18 patients treated with partial fasciectomy (50). In 2016, Lui TH presen ted an endoscopic technique for partial fasciectomy (51).…”

Section: Case Reportmentioning

confidence: 99%

A Case Report of Bilateral Plantar Fibromatosis and Review of Treatment Options

Zachariou

Rozis

Galanis

et al. 2023

Maedica

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Ledderhose disease is a rare benign pathology defined by the formation of nodules along the plantar fascia. The fibromas can slowly grow, resulting in pain and functional disability. Diagnosis is mainly clinical, but it is advised to confirm with an MRI or ultrasound scan. Multiple options of conservative treatment have been suggested with varying levels of evidence. Initially, the treatment aims to relieve symptoms and pain. Treatment options such as extracorporeal shockwave therapy, radiotherapy, intralesional steroid injection, Clostridium histolyticum collagenase injections, Verapamil and Tamoxifen can be used if the symptoms persist. A partial or complete fasciectomy is often performed in cases where conservative treatment fails. We present a case of bilateral plantar fibromatosis treated with extracorporeal shockwave therapy and transfer electrical capacitive and resistive therapy. The patient had an intense pain during the shockwave therapy sessions, which significantly decreased after the transfer electrical capacitive and resistive therapy protocol. At the 12-month follow-up, the patient showed significant improvement in the Visual Analog Scale from 6/10 to 1/10 on the right foot and from 8/10 to 4/10 on the left foot.

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Section: Case Reportmentioning

confidence: 99%

A Case Report of Bilateral Plantar Fibromatosis and Review of Treatment Options

Zachariou

Rozis

Galanis

et al. 2023

Maedica

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“…In 2016, Lui et al [87] developed an endoscopic technique of subtotal fasciectomy for patients who do not respond to conservative treatment, although it is contraindicated in the case of neurovascular bundles of the sole or lesions that have already invaded the plantar skin or muscles of the sole. Because the incisions are smaller than those used in open access, there is less possibility of developing hypertrophic scars.…”

Section: Endoscopic Subtotal Fasciectomy Of the Footmentioning

confidence: 99%

Ledderhose’s Disease: An Up-to-Date Review of a Rare Non-Malignant Disorder

Tomac,

Ion,

Opriș

et al. 2023

Clinics and Practice

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Plantar fibromatosis (or Ledderhose’s disease) is a rare benign condition, difficult to treat, defined by gradual-growing nodules in the central medial part of the plantar fascia, with the possibility of sclerosis and shrinkage of the entire fascia or, rarely, contractures of the toes. From a histopathological point of view, it is linked to Dupuytren’s contracture of the hand and Peyronie’s disease of the penis, being part of a large group of fibromatoses, based on a proliferation of collagen and fibroblasts. Its etiology is still not fully understood, even though it has been associated with trauma, diabetes mellitus, use of anticonvulsants, frozen shoulder, alcohol consumption, and liver disease. Typically, ultrasound confirms the diagnosis, and magnetic resonance imaging is used for more aggressive and advanced types. Several conservative treatment techniques, such as steroid injections, verapamil, imatinib, radiation therapy, extracorporeal shock wave therapy, tamoxifen, sorafenib, mitomycin C, and collagenase, have been documented. When non-operative care fails, surgical measures may be considered, even though recurrence is expected. We attempted to provide a better understanding of this disease by covering all of the important aspects: its history, clinical and radiologic findings, diagnosis, pathophysiology features, conservative and surgical treatment, recurrence rate, and prognosis.

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“…39 Endoscopic plantar fasciectomy has been described in literature; however, the evidence is very limited. 41 Meticulous wound closure is critical to minimize complications (Figures 9 and 10). Potential complications of surgery include painful scar, wound dehiscence, recurrence of lesion, nerve entrapment, and loss of arch height.…”

Section: Surgical Treatmentmentioning

confidence: 99%