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内镜下清创、截骨、松解及射频治疗：一种治疗顽固性足底筋膜炎的全内镜技术

Endoscopic Debridement, Ostectomy, Release, and Radiofrequency: A Fully Endoscopic Technique for Treating Recalcitrant Plantar Fasciitis.

作者信息

Wong Walter-Soon-Yaw, Gengatharan Dhivakaran, Singh Rikhraj Inderjeet, Chong Keen Wai, Png Wen Xian, Cher Eric Wei Liang

机构信息

Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore.

Musculoskeletal Sciences Academic Clinical Programme, SingHealth Duke-NUS, Singapore.

出版信息

Arthrosc Tech. 2024 Aug 1;13(12):103150. doi: 10.1016/j.eats.2024.103150. eCollection 2024 Dec.

DOI:10.1016/j.eats.2024.103150
PMID:39780888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11704965/
Abstract

Plantar fasciitis (PF), a common cause of heel pain, primarily results from inflammation of the plantar fascia due to excessive strain. Its complex pathophysiology, influenced by various biomechanical factors, has led to the development of diverse surgical techniques. Most of these techniques, when used in isolation, have shown benefits in treating refractory PF. We propose the debridement, ostectomy, release, and radiofrequency procedure, a minimally invasive approach combining (1) debridement of the suprafascial plane, (2) ostectomy of the calcaneal spur, (3) partial release of the medial plantar fascia, and (4) direct radiofrequency microtenotomy of the plantar fascia. For patients with gastrocnemius muscle tightness, the procedure may also include a medial endoscopic gastrocnemius release. The described procedure addresses the multifaceted pathology of PF in a single intervention. This comprehensive approach aims to improve patient satisfaction and functional outcomes.

摘要

足底筋膜炎（PF）是足跟疼痛的常见原因，主要由足底筋膜因过度劳损而发炎所致。其复杂的病理生理学受多种生物力学因素影响，导致了多种手术技术的发展。这些技术中的大多数单独使用时，已显示出在治疗难治性PF方面的益处。我们提出了清创、骨切除术、松解术和射频手术，这是一种微创方法，结合了（1）筋膜上平面的清创，（2）跟骨骨刺的骨切除术，（3）内侧足底筋膜的部分松解，以及（4）足底筋膜的直接射频微切开术。对于腓肠肌紧张的患者，该手术还可能包括内侧内镜下腓肠肌松解术。所描述的手术在一次干预中解决了PF的多方面病理问题。这种综合方法旨在提高患者满意度和功能结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/b89202eb76c7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/35d43053d270/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/c367c300e39f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/8a9f3d52c956/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/80236be4ee3f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/5bf68f8e886a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/b89202eb76c7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/35d43053d270/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/c367c300e39f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/8a9f3d52c956/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/80236be4ee3f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/5bf68f8e886a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11704965/b89202eb76c7/gr6.jpg

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本文引用的文献

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Surgical treatment options for plantar fasciitis and their effectiveness: a systematic review and network meta-analysis.足底筋膜炎的手术治疗选择及其疗效：系统评价和网络荟萃分析。
Arch Orthop Trauma Surg. 2023 Aug;143(8):4641-4651. doi: 10.1007/s00402-022-04739-0. Epub 2023 Jan 3.
2
Endoscopic plantar fasciotomy for plantar fasciitis: A systematic review and network meta-analysis of the English literature.内镜下足底筋膜切开术治疗足底筋膜炎：对英文文献的系统评价和网状Meta分析
Foot (Edinb). 2019 Dec;41:63-73. doi: 10.1016/j.foot.2019.08.001. Epub 2019 Aug 20.
3
The clinical outcome of endoscopic plantar fascia release: A current concept review.
内镜足底筋膜松解术的临床疗效：当前概念回顾。
Foot Ankle Surg. 2020 Jan;26(1):19-24. doi: 10.1016/j.fas.2018.12.006. Epub 2018 Dec 23.
4
Plantar fasciopathy: A current concepts review.足底筋膜炎：当前概念综述
EFORT Open Rev. 2018 Aug 29;3(8):485-493. doi: 10.1302/2058-5241.3.170080. eCollection 2018 Aug.
5
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Knee Surg Sports Traumatol Arthrosc. 2018 Oct;26(10):3124-3128. doi: 10.1007/s00167-017-4762-9. Epub 2017 Oct 14.
6
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7
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