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). 2022 Mar;50:101869. doi: 10.1016/j.foot.2021.101869. Epub 2021 Sep 25.
Currently, there is limited evidence on outcomes for plantar fascia radiofrequency microtenotomy. An evidence-based systematic review and meta-analysis for outcomes of radiofrequency microtenotomy for the treatment of plantar fasciitis was conducted.
A comprehensive evidence-based literature review of PubMed and Cochrane Databases was conducted in March 2019, which identified 11 relevant articles assessing the efficacy of plantar fascia radiofrequency microtenotomy. 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. Meta-analysis was performed for 7 of the studies that measured AOFAS scores.
Based on the results of this evidence-based review, there was fair (grade B) evidence to support plantar fascia radiofrequency microtenotomy. There was a statistically significant mean increase of 40.9 in AOFAS scores post procedure.
There was fair (grade B) evidence to recommend radiofrequency microtenotomy for plantar fasciitis. 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.
Level II, systematic review of level II studies.
目前，关于足底筋膜炎射频微切开术的疗效证据有限。本研究对足底筋膜炎射频微切开术的疗效进行了基于证据的系统评价和荟萃分析。
2019 年 3 月，对 PubMed 和 Cochrane 数据库进行了全面的基于证据的文献检索，共确定了 11 项评估足底筋膜炎射频微切开术疗效的相关研究。然后根据证据水平（I-IV 级）对这些研究进行了分类。根据 Wright 分类法，对每一项研究进行了回顾，以提供支持或反对内镜下足底筋膜松解术的推荐等级（A-C，I 级）。对 7 项测量 AOFAS 评分的研究进行了荟萃分析。
基于这项基于证据的综述结果，足底筋膜炎射频微切开术有中等质量（B 级）证据支持。术后 AOFAS 评分平均增加 40.9 分，具有统计学意义。
有中等质量（B 级）证据推荐射频微切开术治疗足底筋膜炎。需要更多高质量的 I 级随机对照试验和验证后的结局指标，以便做出更强有力的推荐。
II 级，II 级研究的系统评价。
