Al-Ashhab Mohamed Ebrahim, Elbegawy Hossam El-Dein A, Hasan Hala Ali Abed
Associate Professor, Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Qualubia, Benha, Egypt.
Associate Professor, Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Qualubia, Benha, Egypt.
J Foot Ankle Surg. 2018 Mar-Apr;57(2):264-268. doi: 10.1053/j.jfas.2017.09.004. Epub 2017 Dec 7.
Plantar fasciopathy is a common cause of heel pain. Endoscopic plantar fasciotomy has the advantage of less surgical trauma and rapid recovery. The aim of the present prospective study was to delineate the results of endoscopic plantar fascia release through 2 medial portals. The present study included 2 groups. The first group included 27 feet in 25 patients that had undergone endoscopic plantar fascia release followed up for 19.7 (range 12 to 33) months. The second group, the control group, included 20 feet in 16 patients treated conservatively and followed up for 16.4 (range 12 to 24) months. The results of endoscopic plantar fascia release were superior to the conservative methods. The surgically treated group experienced significantly less pain, activity limitations, and gait abnormality. The presence of a calcaneal spur had no effect on the final postoperative score. In conclusion, endoscopic plantar fascia release through 2 medial portals is an effective procedure for treatment of resistant plantar fasciopathy that fails to respond to conservative management options.
足底筋膜炎是足跟痛的常见原因。内镜下足底筋膜切开术具有手术创伤小、恢复快的优点。本前瞻性研究的目的是描述通过两个内侧入路进行内镜下足底筋膜松解的结果。本研究包括两组。第一组包括25例患者的27只脚，这些患者接受了内镜下足底筋膜松解术，并随访了19.7（范围12至33）个月。第二组为对照组，包括16例患者的20只脚，采用保守治疗，随访了16.4（范围12至24）个月。内镜下足底筋膜松解的结果优于保守治疗方法。手术治疗组的疼痛、活动受限和步态异常明显减轻。跟骨骨刺的存在对最终术后评分没有影响。总之，通过两个内侧入路进行内镜下足底筋膜松解是治疗对保守治疗方案无反应的顽固性足底筋膜炎的有效方法。
