Midterm Outcomes of Endoscopic Plantar Fascia Debridement in 125 Patients: A 5-Year Follow-Up

Cottom, James M.; Wolf, Joseph; Sisovsky, Charles

doi:10.1053/j.jfas.2022.11.001

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Several studies have found that endoscopic plantar fascia release is often satisfactory in the treatment of recalcitrant plantar fasciitis. 10 , 26 , 27 Cottom et al 28 found that AOFAS scores and VAS scores of patients with recalcitrant plantar fasciitis improved significantly during a 5‐year follow‐up period after inflammatory tissue debridement of the plantar fascia. Rizk et al 29 found that heel drilling and decompression combined with metatarsal fascia laxation was effective in the treatment of recalcitrant plantar fasciitis.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Jiang,

Liu,

et al. 2024

Orthopaedic Surgery

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ObjectiveThe most common causes of plantar and heel pain are plantar fasciitis and calcaneal spurs, and they often co‐exist. Surgery is a recognized treatment for refractory plantar fasciitis. However, few studies have proposed treatment options for patients with metatarsophalangeal fasciitis with bone spurs. Accordingly, this study's purpose was to propose a four‐step surgical regimen, and to improve the surgical outcome of plantar fasciitis with osteophytes and to establish a procedure for surgical treatment.MethodsRetrospective analysis of 45 patients suffering from plantar fasciitis with bone spurs from 2020 to 2023. All patients underwent a four‐step procedure, including plantar fascia release, calcaneal spur grinding, inflammatory tissue removal, and calcaneal burr decompression. The imaging parameters and functional scores were recorded before and after the operation. The objective evaluation included the measurement of calcaneal spur length on radiographs. Clinical evaluation included the American Orthopaedic Foot and Ankle Society (AOFAS), the Visual Analog Scale (VAS), and the Foot and Ankle Outcome Scale (FAOS). Measurement data that conformed to normal distribution were expressed as (x2 ± s), and pre‐and postoperative AOFAS, FAOS, and VAS scores were compared using repeated‐measures ANOVA, and preoperative and postoperative spur lengths were compared using paired t‐tests.ResultsThe 45 patients were followed up for 3 to 30 months, (17.72 ± 8.53) months, at final follow‐up, the patient's AOFAS score improved from preoperative (74.93 ± 5.56) to (94.78 ± 3.98), FAOS score increased from preoperative (76.42 ± 3.37) to (96.16 ± 2.74), the VAS score decreased from (3.18 ± 0.54) to (1.07 ± 1.20) (p < 0.05), the length of spur decreased from (0.72 ± 1.81) cm to (0.23 ± 1.19) cm, and there were significant differences before and after operation (p < 0.05).ConclusionThe four‐step surgical regimen is an appropriate and effective surgical procedure to treat plantar fasciitis with bone spurs.

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Section: Discussionmentioning

confidence: 99%

Clinical Study of a Four‐Step Program for the Treatment of Plantar Fasciitis with Bone Spurs

Jiang,

Liu,

et al. 2024

Orthopaedic Surgery

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“…Certain minimally invasive procedures, such as percutaneous plantar fasciotomy, endoscopic plantar fasciotomy, or fascia debridement, can be undertaken to release tension on the plantar fascia and alleviate symptoms ( 21 , 22 ).…”

Section: Advanced Treatment Approachesmentioning

confidence: 99%

Key Considerations When Targeting a Heel Spur

Mohseni,

Mousavi,

Alebouyeh

2023

Anesth Pain Med

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: Heel spur is a common medical condition that can cause substantial discomfort and reduce the quality of life of the affected patients. When seeking treatment for a heel spur, it is important to consider the differential diagnoses and underlying medical conditions that may contribute to the symptoms. This manuscript aims to explore several distinctive diagnostic possibilities, essential factors to consider, and practical strategies for managing heel spurs. This paper explains the common differential diagnoses and addresses medical conditions related to heel spurs. The importance of accurate diagnosis in planning treatment protocol is highlighted. In addition, we explain treatment strategies, including preventive measures, conservative treatments, and more advanced procedures. Physicians can help relieve pain and improve the quality of life of the affected individuals by considering the diverse aspects of managing heel spurs.

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