Long-term follow-up of heel spur surgery. A 10-year retrospective study

Abstract

A comparative retrospective study of 48 open heel spur surgeries and 20 endoscopic plantar fasciotomies was conducted involving 59 patients over a 10-year period. There was a significant reduction in heel pain at the time of follow-up (average, 3 years) for both groups. Overall, 85% of procedures were associated with patient satisfaction with the results, and patients said that they would recommend heel spur surgery for relief of severe heel pain in 94% of cases. Factors influencing the postoperative outcome, such as duration of preoperative symptoms, extent of conservative care, and obesity, are discussed.

Isolated Gastrocnemius Recession for Treatment of Insertional Achilles Tendinopathy

“…These clinical findings are further supported by multiple studies that have demonstrated the removal of the plantar heel spur does not add to the success of the outcome in the surgical treatment of plantar heel pain. 13,[17][18][19] Calcification of the Achilles tendon insertion occurs primarily to the anterior and central portion of the tendon insertion. While local irritation of the spur may occur especially from shoe gear, the author's feel that primary source of pain occurs deep to the superficial tendon strands.…”

Treatment of Plantar Fasciitis in Recreational Athletes

“…Concerning surgical treatment, 5 retrospective case series, 44-48 which included 278 patients who experienced heel pain for an average duration of 14 months before surgery, showed that 75% to 95% of patients had long-term improvement as measured by various criteria. Up to 27% of patients still manifested significant pain, up to 20% had some activity restriction, and up to 12% had moderate pain that impaired foot function.…”

Indikation, OP-Technik und Ergebnisse des endoskopischen Releases der Plantarfaszie (ERPF)

“…Die Erfolgsaussichten der klassischen offenen Fasciotomie wurden u. a. durch Vohra et al (1999) aufgezeigt. Sie erzielten in 85% gute Ergebnisse bei 48…”