title: Endoscopic Debridement for Treatment of Chronic Plantar Fasciitis: An Innovative Surgical Technique.
abstract: Plantar fasciitis is one the most common pathologies seen by foot and ankle surgeons. When nonoperative therapy fails, surgical intervention is warranted. Various surgical procedures are available for the treatment of recalcitrant plantar fasciitis. The most common surgical management typically consists of open versus endoscopic plantar fascia release. The documented comorbidities associated with the release of the plantar fascia include lateral column overload and metatarsalgia. We present a new technique for this painful condition that is minimally invasive, allows visualization of the plantar fascia, and maintains the integrity of this fascia. Our hypothesis was that the use of endoscopic debridement of the plantar fascia would provide a minimally invasive technique with acceptable patient outcomes.
authors.affiliation: Fellowship Director and Attending Physician, Florida Orthopedic Foot & Ankle Center, Sarasota, FL. Electronic address: drcottom@flofac.com.
authors.forename: James M
authors.initials: JM
authors.lastname: Cottom
authors.affiliation: Fellow, Foot and Ankle Surgical Fellowship, Florida Orthopedic Foot & Ankle Center, Sarasota, FL.
authors.forename: Jared M
authors.initials: JM
authors.lastname: Maker
mesh_terms: D003646:Debridement / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D036981:Fasciitis, Plantar / Q000601:surgery*; D000071938:Fasciotomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010147:Pain Measurement; D056888:Patient Positioning; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: chronic plantar fasciitis; endoscopic debridement; heel pain; heel spur; plantar fasciitis