Apóstol-González Saúl, Herrera Jesús
Servicio de Traumatología y Ortopedia, Unidad de Cirugía Percutánea del Pie de la Clínica Venezuela, Valencia Estado Carabobo, Venezuela.
Acta Ortop Mex. 2009 Jul-Aug;23(4):209-12.
Determine the efficacy of percutaneous surgical treatment for talalgia due to a calcaneal spur.
This is an observational, descriptive, clinical series analyzing the outcomes of 10 patients with a diagnosis of talalgia due to plantar fasciitis with a calcaneal spur treated with percutaneous foot surgery. The end result was assessed with a visual analog scale (VAS) to measure pain, the patients' opinion and their return to activities of daily living. Central tendency and scatter measurements were calculated. The inferential analysis was done with the non-parametric chi square (chi2) test.
Most patients were females (90%) and mean age was 40.5 years. Follow-up was 12 months. One patient had bleeding of the approached area. Pain was reduced from 8 to 1.5 in the VAS. Nine patients returned to their activities. Two patients had occasional mild pain upon prolonged bipedestation. Ninety percent of results were satisfactory.
Percutaneous foot surgery in talalgias caused by plantar fasciitis due to a calcaneal spur is a simple and effective method. It reduces the operative time and allows for an early return of patients to their activities of daily living.
确定经皮手术治疗跟骨骨刺所致足跟痛的疗效。
这是一项观察性、描述性临床系列研究，分析了10例诊断为足底筋膜炎伴跟骨骨刺所致足跟痛并接受经皮足部手术治疗患者的结局。通过视觉模拟量表（VAS）评估最终结果，以测量疼痛程度、患者的意见及其恢复日常生活活动的情况。计算了集中趋势和离散度测量值。采用非参数卡方（χ2）检验进行推断性分析。
大多数患者为女性（90%），平均年龄为40.5岁。随访时间为12个月。1例患者手术部位出血。VAS评分中疼痛程度从8分降至1.5分。9例患者恢复了日常活动。2例患者在长时间站立时偶尔有轻度疼痛。90%的结果令人满意。
经皮足部手术治疗跟骨骨刺所致足跟痛是一种简单有效的方法。它缩短了手术时间，并使患者能够早日恢复日常生活活动。
