Orthopaedic Foot and Ankle Unit, Orthopaedics and Trauma Department, Hospital Universitario Quiron Madrid, Spain.
Int Orthop. 2013 Sep;37(9):1845-50. doi: 10.1007/s00264-013-2022-2.
The purpose of this study was to compare results of partial proximal fasciotomy (PPF) with proximal medial gastrocnemius release (PMGR) in the treatment of chronic plantar fasciitis (CPF).
This retrospective study compares 30 patients with CPF that underwent PPF with 30 that underwent isolated PMGR. Both groups were matched in terms of previous treatments and time from onset of symptoms to surgery. Different standardised evaluation scales (VAS, Likert, AOFASh) were used to evaluate results.
Plantar fasciotomy had satisfactory results in just 60 % of patients, with an average ten weeks needed to resume work and sports. Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at three weeks on average. Functional and pain scores were considerably better for PMGR and fewer complications registered.
In our series, isolated PMGR is a simple and reliable procedure to treat patients with CPF. It provides far better results than conventional fasciotomy with less morbidity and better patient satisfaction, and thus has become our surgical procedure of choice in recalcitrant CPF.
本研究旨在比较部分近端筋膜切开术（PPF）与近端内侧腓肠肌松解术（PMGR）治疗慢性足底筋膜炎（CPF）的结果。
本回顾性研究比较了 30 例接受 PPF 的 CPF 患者和 30 例接受单纯 PMGR 的患者。两组在既往治疗和症状出现到手术的时间方面相匹配。使用不同的标准化评估量表（VAS、Likert、AOFASh）评估结果。
足底筋膜炎切开术的患者仅 60%的结果令人满意，平均需要 10 周才能恢复工作和运动。PMGR 组的患者满意度达到 95%，平均在 3 周内恢复工作和运动。PMGR 的功能和疼痛评分明显更好，并发症也更少。
在我们的系列中，单纯 PMGR 是治疗 CPF 患者的一种简单可靠的方法。它提供了比传统筋膜切开术更好的结果，发病率更低，患者满意度更高，因此已成为我们治疗顽固性 CPF 的首选手术方法。
