Mao David Weijia, Chandrakumara Darshana, Zheng Qishi, Kam Carmen, Kon Kam King Charles
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, 529889, Singapore.
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, 529889, Singapore.
Foot (Edinb). 2019 Dec;41:63-73. doi: 10.1016/j.foot.2019.08.001. Epub 2019 Aug 20.
Currently, there is limited evidence on outcomes for endoscopic plantar fasciotomy.
An evidence-based literature review for outcomes of endoscopic plantar fasciotomy for the treatment of plantar fasciitis is provided.
A comprehensive evidence-based literature review of PubMed and Cochrane databases was conducted on 9th March 2019, which identified 12 relevant articles assessing the efficacy of endoscopic plantar fasciotomy. The studies were then assigned to a level of evidence (I-IV). Individual studies were reviewed to provide a grade of recommendation (A-C, I) according to the Wright classification in support of or against endoscopic plantar fascia release.
Based on the results of this evidence-based review, there is poor evidence (grade C) to support endoscopic plantar fascia release. Release of the medial 2/3 of the plantar fascia in endoscopic plantar fasciotomy was associated with higher AOFAS score.
Although the majority of the level of evidence was low (level IV) and grade of recommendation was poor (grade C), there seemed to be good outcomes for endoscopic plantar fasciotomy. There is a need for more high quality level I randomized controlled trials with validated outcome measures to allow for stronger recommendations to be made.
目前，关于内镜下足底筋膜切开术的治疗效果证据有限。
提供一项基于证据的关于内镜下足底筋膜切开术治疗足底筋膜炎效果的文献综述。
于2019年3月9日对PubMed和Cochrane数据库进行了全面的基于证据的文献综述，共识别出12篇评估内镜下足底筋膜切开术疗效的相关文章。然后将这些研究划分为证据等级（I-IV级）。根据Wright分类法对各项研究进行评估，以给出支持或反对内镜下足底筋膜松解术的推荐等级（A-C，I）。
基于该循证综述的结果，支持内镜下足底筋膜松解术的证据不足（C级）。内镜下足底筋膜切开术中松解足底筋膜内侧2/3与较高的美国足踝外科协会（AOFAS）评分相关。
尽管大多数证据等级较低（IV级）且推荐等级较差（C级），但内镜下足底筋膜切开术似乎有较好的效果。需要更多高质量的I级随机对照试验以及经过验证的疗效指标，以便能给出更强有力的推荐。
