Lucas Douglas E, Ekroth Scott R, Hyer Christopher F
Fellow, Orthopedic Foot and Ankle Department, Stanford University School of Medicine, Stanford, CA.
Attending Physician, Physician's Clinic of Iowa, Cedar Rapids, IA.
J Foot Ankle Surg. 2015 Mar-Apr;54(2):179-82. doi: 10.1053/j.jfas.2014.12.015. Epub 2015 Jan 21.
Plantar fasciitis is a common condition, with most patients treated successfully with nonoperative management. Recalcitrant disease has been managed with surgical procedures that vary in design and associated morbidity. The present study sought to determine the intermediate-term results of percutaneous bipolar radiofrequency microtenotomy in recalcitrant plantar fasciitis. The patient medical records were reviewed, and data were gathered for all the patients who met the inclusion criteria. The foot function index and visual analog scale (VAS) pain scale questionnaires were mailed to the 111 patients. Of the 111 patients, 61 (55.0%) returned their questionnaires and were ultimately included in the present analysis. Of the 61 patients, 44 (72.1%) were female and 17 were (27.9%) male, with an average reported follow-up of 33.3 ± 8.6 (range 16.1 to 46.6) months. The median postoperative VAS score was 0.0 (range 0.0 to 10.0), and the median foot function index score was 3.1 (range 0.0 to 97.1). The patients were subdivided into success and failure groups according to their satisfaction. Of the 61 patients, 51 (83.6%) were satisfied and would recommend the procedure to a friend. The median VAS score in the success group was 0.0 (range 0.0 to 5.0), and the median VAS score in the failure group was 6.0 (range 0.0 to 10.0), a significant difference (p < .001). A significant difference was also seen in the foot function index score between the success (median 2.4, range 0.0 to 25.7) and failure (median 37.4, range 0.0 to 97.1) groups (p < .001). Bipolar radiofrequency microtenotomy appears to be a safe procedure that can provide outcomes equivalent to those with open surgery, with less morbidity, for recalcitrant plantar fasciitis.
足底筋膜炎是一种常见病症，大多数患者通过非手术治疗可成功治愈。顽固性病例则采用设计各异且相关发病率不同的外科手术进行治疗。本研究旨在确定经皮双极射频微切开术治疗顽固性足底筋膜炎的中期结果。回顾了患者的病历，并收集了所有符合纳入标准患者的数据。向111名患者邮寄了足部功能指数和视觉模拟量表（VAS）疼痛量表问卷。111名患者中，61名（55.0%）返还了问卷并最终纳入本分析。61名患者中，44名（72.1%）为女性，17名（27.9%）为男性，平均报告随访时间为33.3±8.6（范围16.1至46.6）个月。术后VAS评分中位数为0.0（范围0.0至10.0），足部功能指数评分中位数为3.1（范围0.0至97.1）。根据患者满意度将其分为成功组和失败组。61名患者中，51名（83.6%）表示满意，并会向朋友推荐该手术。成功组VAS评分中位数为0.0（范围0.0至5.0），失败组VAS评分中位数为6.0（范围0.0至10.0），差异有统计学意义（p<0.001）。成功组（中位数2.4，范围0.0至25.7）和失败组（中位数37.4，范围0.0至97.1）的足部功能指数评分也存在显著差异（p<0.001）。双极射频微切开术似乎是一种安全的手术，对于顽固性足底筋膜炎，其疗效与开放手术相当，但发病率更低。
