Dermatology Department, University Hospital "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.
Dermatology Department, Faculty of Medicine of ABC, São Paulo, Brazil.
Int J Dermatol. 2018 Mar;57(3):365-367. doi: 10.1111/ijd.13840. Epub 2017 Dec 19.
Plantar fibromatosis or Ledderhose disease is characterized by a benign fibroblastic proliferation of the plantar fascia. It is an illness with unknown etiology and a complex treatment in its most intense manifestation.
The authors describe a surgical option for extensive cases where conservative treatments are not successful. Surgical techniques may vary according to the site and extent of the lesions.
Surgical treatment with wide resection of the lesion and second intention healing using a hydrocolloid dressing.
After a 3-year follow-up with no recurrence, the authors demonstrated an excellent result, which led to an important improvement in the patient's quality of life.
Surgical treatment can be a good option for plantar fibromatosis. Giant lesions can be treated with wide excisions and second intention healing, with low risk of aesthetic and functional complications.
足底纤维瘤病或莱德霍斯病的特征是足底筋膜的良性成纤维细胞增生。这是一种病因不明的疾病，在其最严重的表现形式下，治疗方法复杂。
作者描述了一种手术选择，适用于保守治疗不成功的广泛病例。手术技术可能因病变部位和范围而异。
采用广泛切除病变组织并使用水胶体敷料二期愈合的手术治疗。
经过 3 年的随访，无复发，作者取得了极好的效果，显著提高了患者的生活质量。
手术治疗是足底纤维瘤病的一种较好的选择。巨大病变可采用广泛切除和二期愈合治疗，美学和功能并发症风险低。
