超重和肥胖患者顽固性足底筋膜炎的腓肠肌松解术
Gastrocnemius recession for recalcitrant plantar fasciitis in overweight and obese patients.
作者信息
Ficke Brooks, Elattar Osama, Naranje Sameer M, Araoye Ibukunoluwa, Shah Ashish B
机构信息
Division of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
Division of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, United States.
出版信息
Foot Ankle Surg. 2018 Dec;24(6):471-473. doi: 10.1016/j.fas.2017.05.008. Epub 2017 Jun 7.
BACKGROUND
Plantar fasciitis is a common foot pathology that is typically treated non-operatively. However, a minority of patients fail non-operative management, develop chronic symptoms, and request a surgical option. Gastrocnemius recession has recently been shown to be effective for the treatment of chronic plantar fasciitis. The purpose of this paper is to present evidence that gastrocnemius recession is safe and effective in the subset of chronic plantar fasciitis patients who are overweight and obese.
METHODS
We retrospectively reviewed 18 cases (17 patients) of chronic plantar fasciitis in overweight or obese patients who underwent gastrocnemius recession (mean age=46years, mean body mass index=34.7kg/m, mean follow-up=20months). Data was gathered regarding pre-operative and post-operative pain (visual analog scale, 0-10), Foot Function Index score, and complications.
RESULTS
Mean Foot Function Index score improved from 66.4 (range, 32.3-97.7) preoperatively to 26.5 (range, 0-89.4) postoperatively (p<0.01). Mean pain score improved from 8.3 (range, 5-10) preoperatively to 2.4 (range, 0-7) at final follow-up (p<0.01).
CONCLUSIONS
Gastrocnemius recession improved foot function and pain symptoms in overweight and obese patients with chronic plantar fasciitis.
背景
足底筋膜炎是一种常见的足部疾病，通常采用非手术治疗。然而，少数患者非手术治疗失败，出现慢性症状，并要求选择手术治疗。最近研究表明，腓肠肌松解术治疗慢性足底筋膜炎有效。本文旨在提供证据，证明腓肠肌松解术对于超重和肥胖的慢性足底筋膜炎患者是安全有效的。
方法
我们回顾性分析了18例（17名患者）超重或肥胖的慢性足底筋膜炎患者接受腓肠肌松解术的情况（平均年龄 = 46岁，平均体重指数 = 34.7kg/m，平均随访时间 = 20个月）。收集术前和术后疼痛（视觉模拟评分，0 - 10）、足部功能指数评分及并发症的数据。
结果
平均足部功能指数评分从术前的66.4（范围32.3 - 97.7）改善至术后的26.5（范围0 - 89.4）（p < 0.01）。平均疼痛评分从术前的8.3（范围5 - 10）改善至末次随访时的2.4（范围0 - 7）（p < 0.01）。
结论
腓肠肌松解术改善了超重和肥胖的慢性足底筋膜炎患者的足部功能和疼痛症状。
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