title: Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy.
abstract: Plantar fasciitis, the most common cause of pain in the inferior heel, accounts for 11% to 15% of all foot symptoms requiring professional care among adults. The present study reports the results of a minimally invasive surgical treatment of chronic plantar fasciitis. All patients with plantar fasciitis who had undergone percutaneous latticed plantar fasciotomy at 3 clinical sites from March 2008 to March 2009 were included in the present study. The follow-up evaluations for this treatment were conducted using the Mayo clinical scoring system. We investigated 17 patients with recalcitrant chronic plantar fasciitis who had undergone this treatment within a follow-up period of ≥13 months. All procedures were performed in the clinic with the patient under local anesthesia. No wound infections or blood vessel or nerve damage occurred. At a mean follow-up period of 16.0 ± 2.29 (range 13 to 21) months, significant improvement was seen in the preoperative mean Mayo score (from 12.06 ± 2.54 to 89.76 ± 4.28, p < .001) and no patient had developed symptom recurrence. Also, none of the patients had developed complex regional pain syndrome. All patients were able to return to regular shoe wear by 3 weeks postoperatively. The technique of plantar fasciitis with percutaneous latticed plantar fasciotomy could be a promising treatment option for patients with recalcitrant chronic plantar fasciitis.
authors.affiliation: Orthopedist, Department of Orthopaedics, The Fourth People's Hospital of Siping, Siping, People's Republic of China.
authors.forename: Xu
authors.initials: X
authors.lastname: Yanbin
authors.affiliation: Orthopedist, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China; Orthopedist, Department of Orthopaedics, Daqing Oilfields General Hospital, Daqing, People's Republic of China.
authors.forename: Chu
authors.initials: C
authors.lastname: Haikun
authors.affiliation: Assistant Professor, Department of Pathology, China-Japan Union Hospital of Jilin University, Jilin, People's Republic of China.
authors.forename: Ji
authors.initials: J
authors.lastname: Xiaofeng
authors.affiliation: Assistant Professor, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Wanshan
authors.affiliation: Assistant Professor, Department of Pathology, Yanbian University College of Medicine, Yanji, People's Republic of China. Electronic address: xuyb09@mails.jlu.edu.cn.
authors.forename: Liu
authors.initials: L
authors.lastname: Shuangping
mesh_terms: D000328:Adult; D002908:Chronic Disease; D015331:Cohort Studies; D036981:Fasciitis, Plantar / Q000175:diagnosis / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D010147:Pain Measurement; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: calcaneus; fasciosis; heel pain; plantar fasciitis; surgery