title: Endoscopic Debridement for Treatment of Chronic Plantar Fasciitis: An Innovative Technique and Prospective Study of 46 Consecutive Patients.
abstract: Plantar fasciitis is one the most common pathologies treated by foot and ankle surgeons. When nonoperative therapy fails, surgical intervention might be 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. Comorbidities associated with the release of the plantar fascia have been documented, including lateral column overload and metatarsalgia. We present an innovative technique for this painful condition that is minimally invasive, allows visualization of the plantar fascia, and maintains the integrity of the fascia. Our hypothesis was that the use of endoscopic debridement of the plantar fascia with or without heel spur resection would provide a minimally invasive technique with acceptable patient outcomes.
authors.affiliation: Fellowship Director and Attending Physician, Florida Orthopedic Foot and 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 and Ankle Center, Sarasota, FL.
authors.forename: Jared M
authors.initials: JM
authors.lastname: Maker
authors.affiliation: Fellow, Foot and Ankle Surgical Fellowship, Florida Orthopedic Foot and Ankle Center, Sarasota, FL.
authors.forename: Phillip
authors.initials: P
authors.lastname: Richardson
authors.affiliation: Fellow, Foot and Ankle Surgical Fellowship, Florida Orthopedic Foot and Ankle Center, Sarasota, FL.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Baker
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003646:Debridement / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D036981:Fasciitis, Plantar / Q000601:surgery*; D000071938:Fasciotomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D053657:Platelet-Rich Plasma; D011446:Prospective Studies; D064232:Visual Analog Scale; D055815:Young Adult
keywords: calcaneus; endoscopy; heel pain; plantar fasciitis