Perelman G K, Figura M A, Sandberg N S
Deaconess Medical Center West Campus, St. Louis, Missouri, USA.
J Foot Ankle Surg. 1995 Sep-Oct;34(5):447-57; discussion 509-10. doi: 10.1016/S1067-2516(09)80020-3.
A review of the anatomy, etiology, and conservative and surgical treatments of plantar fasciitis are presented and a simple surgical technique is introduced. The medial instep plantar fasciotomy was performed by the authors on 50 feet previously untreated by surgery (41 patients). The follow-up results (average length of time to follow-up was 11.3 months) revealed that 82.6% of the patients experienced at least 90% pain relief and 97.8% experienced at least 80% pain relief. Overall, 91.3% of the patients related at least 80% satisfaction with the results of the surgery and all but one of the patients stated that they would recommend and/or have the procedure performed again if the need arose. Complications arising from the instep procedure were limited, and the most frequent complaint was scar formation. Stress was placed on exhausting conservative measures before attempting surgical correction, and the average patient utilized five different modalities of conservative treatment over an average period of 13 months. Postoperatively, patients were encouraged to continue, or begin using, orthotics/arch supports to avoid problems such as arch pain.
本文对足底筋膜炎的解剖学、病因学以及保守和手术治疗方法进行了综述，并介绍了一种简单的手术技术。作者对50只此前未经手术治疗的足部（41例患者）实施了内侧足背足底筋膜切开术。随访结果（平均随访时间为11.3个月）显示，82.6%的患者疼痛缓解至少90%，97.8%的患者疼痛缓解至少80%。总体而言，91.3%的患者对手术结果的满意度至少为80%，除1例患者外，所有患者均表示如果有需要，他们会推荐和/或再次接受该手术。足背手术引起的并发症有限，最常见的主诉是瘢痕形成。强调在尝试手术矫正之前要穷尽保守措施，平均每位患者在平均13个月的时间里使用了五种不同的保守治疗方式。术后，鼓励患者继续或开始使用矫形器/足弓支撑，以避免诸如足弓疼痛等问题。
