经皮足底筋膜松解术。新的外科手术方法。
Percutaneous release of the plantar fascia. New surgical procedure.
作者信息
Oliva Francesco, Piccirilli Eleonora, Tarantino Umberto, Maffulli Nicola
机构信息
Department of Orthopaedics and Traumatology, University of Rome "Tor Vergata", Italy.
Department of Musculoskeletal Disorders, University of Salerno, Salerno; Campus Bio-Medico University of Rome, Rome, Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, UK.
出版信息
Muscles Ligaments Tendons J. 2017 Sep 18;7(2):338-340. doi: 10.11138/mltj/2017.7.2.338. eCollection 2017 Apr-Jun.
Abstract
BACKGROUND
Plantar fasciopathy presents with pain at the plantar and medial aspect of the heel. If chronic, it can negatively impact on quality of life. Plantar fasciopathy is not always self-limiting, and can be debilitating.
METHODS
Surgical management involves different procedures. We describe a percutaneous plantar fascia release. A minimally invasive access to the plantar tuberosity of the calcaneus is performed, and a small scalpel blade is used to release the fascia.
CONCLUSION
With this procedure, skin healing problems, nerve injuries, infection and prolonged recovery time are minimised, allowing early return to normal activities.
LEVEL OF EVIDENCE
V.
摘要
背景
足底筋膜炎表现为足跟底部和内侧疼痛。如果是慢性的，会对生活质量产生负面影响。足底筋膜炎并非总是自限性的，可能使人虚弱。
方法
手术治疗包括不同的术式。我们描述一种经皮足底筋膜松解术。通过微创进入跟骨的足底结节，使用小手术刀刀片松解筋膜。
结论
通过该手术，皮肤愈合问题、神经损伤、感染及恢复时间延长等情况可减至最少，能使人早日恢复正常活动。
证据级别
V级。
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