Department of Orthopedic Surgery, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China.
J Orthop Surg Res. 2024 Oct 7;19(1):633. doi: 10.1186/s13018-024-05132-w.
Plantar fascia (PF) is the commonest causes of foot pain in the adult population. Several surgical treatments are available to treat PF. This study was aimed to investigate the clinical efficacy of three different treatments for plantar fasciitis. It was conducted among 60 patients, divided equally into three treatment groups named Needle Knife Therapy, Endoscopic Plantar Fasciotomy, and Conventional Painkillers. Descriptive and analytical analysis were done by using SPSS 25 software. VAS and AOFAS scores were analyzed. The maximum (n = 31) participants were in 41-60 year age range group with normal BMI. These differences of mean VAS and AOFAS pain scores between different treatment groups were statistically significant (One-way ANOVA, p < 0.01). Both scores found lower in the Endoscopic Plantar Fasciotomy group. This study opens a new window of knowledge to achieve sustained pain relief and functional improvement. Moreover, the superiority of Endoscopic Plantar Fasciotomy in treating plantar fasciitis compared to Needle Knife Therapy and Conventional Painkillers was explored.
足底筋膜炎是成年人足部疼痛最常见的原因。有几种手术治疗方法可用于治疗足底筋膜炎。本研究旨在探讨三种不同治疗方法治疗足底筋膜炎的临床疗效。研究对象为 60 名患者，平均分为三组，分别为针刀治疗组、内镜足底筋膜切开术组和常规止痛药组。采用 SPSS 25 软件进行描述性和分析性分析。分析了 VAS 和 AOFAS 评分。最大（n=31）参与者年龄在 41-60 岁，BMI 正常。不同治疗组之间的平均 VAS 和 AOFAS 疼痛评分差异具有统计学意义（单因素方差分析，p<0.01）。这两个评分在内窥镜足底筋膜切开术组中均较低。本研究为实现持续缓解疼痛和功能改善开辟了新的知识窗口。此外，还探讨了与针刀治疗和常规止痛药相比，内镜足底筋膜切开术治疗足底筋膜炎的优势。
