A Retrospective Comparison of Percutaneous Plantar Fasciotomy and Open Plantar Fasciotomy with Heel Spur Resection

Abstract Minimally invasive surgery for the treatment of recalcitrant heel pain is a relatively new approach. To compare the 2 approaches, a retrospective chart review was conducted of 53 patients (55 feet) who had undergone surgical treatment of plantar fasciitis by either open fasciotomy with heel...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2013-05, Vol.52 (3), p.288-290
Main Authors: Fallat, Lawrence M., DPM, FACFAS, Cox, J. Todd, DPM, Chahal, Ruby, DPM, Morrison, Pamela, DPM, FACFAS, Kish, John, PhD
Format: Article
Language:English
Subjects:
Adult
bone
calcaneus
fascia
Fasciitis, Plantar - surgery
Fasciotomy
Female
Heel - surgery
heel pain
Heel Spur - surgery
Humans
Male
Middle Aged
Orthopedics
Retrospective Studies
surgery
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Summary:Abstract Minimally invasive surgery for the treatment of recalcitrant heel pain is a relatively new approach. To compare the 2 approaches, a retrospective chart review was conducted of 53 patients (55 feet) who had undergone surgical treatment of plantar fasciitis by either open fasciotomy with heel spur resection or percutaneous medial fascial release. The outcomes measures included perioperative pain and the interval to return to full activity. Pain was measured on a subjective 10-point visual analog scale. Of the 55 fasciotomies performed, 23 were percutaneous and 32 were open, with adjunctive heel spur resection. The percutaneous group experienced a mean pain reduction of 5.69 points at the first postoperative visit, whereas open fasciotomy group experienced a mean pain reduction of 3.53 points. At 12 months postoperatively, no statistically significant difference was found in the pain levels between the 2 groups. The results also showed that the percutaneous group returned to normal activity an average of 2.82 weeks ( p < .001) faster than the open group. In the patient cohorts studied, percutaneous medial fascial release was as effective at resolving recalcitrant plantar fasciitis pain as the open procedure and involved less postoperative pain and a faster return to full activity.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2012.10.005