title: Percutaneous Ultrasound-Guided TOPAZ Radiofrequency Coblation: A Novel Coaxial Technique for the Treatment of Recalcitrant Plantar Fasciitis-Our Experience.
abstract: Various therapeutic options are available for treatment of recalcitrant plantar fasciitis. Studies using TOPAZ coblation (ArthroCare, Sunnyvale, CA) have had good early results. The current coblation technique involves a surgical incision or breach of the highly specialized plantar fat pad, which can be associated with risks. We describe a novel technique of ultrasound-guided percutaneous coblation with a lateral heel approach. Advantages include precise targeting of the plantar fascia by direct dynamic visualization of the coblation tip, a true percutaneous approach with a needle skin puncture (<5 mm), and preservation of the plantar fat pad by using a lateral heel approach.
authors.affiliation: Department of Musculoskeletal Radiology, University Hospitals of Leicester National Health Service Trust, Leicester Royal Infirmary, Leicester, England doctigs@gmail.com.
authors.forename: Amit
authors.initials: A
authors.lastname: Shah
authors.affiliation: Department of Trauma and Orthopedics, University Hospitals of Leicester National Health Service Trust, Leicester Royal Infirmary, Leicester, England.
authors.forename: Alistair J
authors.initials: AJ
authors.lastname: Best
authors.affiliation: Department of Musculoskeletal Radiology, University Hospitals of Leicester National Health Service Trust, Leicester Royal Infirmary, Leicester, England.
authors.forename: Winston J
authors.initials: WJ
authors.lastname: Rennie
mesh_terms: D000273:Adipose Tissue / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D036981:Fasciitis, Plantar / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006365:Heel / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: TOPAZ coblation; musculoskeletal ultrasound; percutaneous; recalcitrant plantar fasciitis; ultrasound