Endoscopic Deep-Fascial Approach for the Treatment of Plantar Fasciitis
Ahmed Hashem Amin* and Mohamed Hamed Fahmy
Assistant Professor of Orthopedics, Zagazig University Hospitals, Egypt
- *Corresponding Author:
- Ahmed Hashem Amin
Zagazig University Hospital, Egypt
Tel: 002 0122 17 21 470
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E-mail: [email protected]
Received Date: October 28, 2014; Accepted Date: November 24, 2014; Published Date: November 26, 2014
Citation: Amin AH, Fahmy MH (2014) Endoscopic Deep-Fascial Approach for the Treatment of Plantar Fasciitis. Orthop Muscul Syst 3: 176. doi: 10.4172/2161-0533.1000176
Copyright: © 2014 Amin AH et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Study design: Retrospective study.
Objective of the study: The purpose of this study was to determine the clinical results of deep-fascial medial and lateral portals in performing endoscopic surgery for plantar fasciitis.
Background: plantar fasciitis is the most common injury of the plantar fascia, 90% of cases respond to conservative treatment and 10% needs surgical treatment.
Methods: We treated seven patients who complained from plantar fasciitis by endoscopic surgical release of the plantar fascia using the deep-fascial approach after failure of conservative treatment for more than 6 months. They were 4 male and 3 female patients with a mean age at surgery of 36 years (range, 22-55 years). A heel spur was detected in 5 patients and it was resected to establish a clear view of the plantar fascia.
Results: The mean American Orthopedics Foot and Ankle Society Ankle Hindfoot Scale (AOFAS) score was 64 points before surgery and 90 points at 2 years after surgery. In the categories of the AOFAS score, pain was improved significantly: 16.0 points before surgery and 38 points at 2 year after surgery. Six patients returned back to full preoperative activity by a mean of 7 weeks (Range, 6 to 8 weeks).
Conclusions: Endoscopic surgery for the treatment of plantar fasciitis through a deep-fascial approach allows for adequate working space, better visualization of the surgical field, precise cutting of the medial half of the plantar fascia, excision of the calcaneal spur and provide better clinical results than the slotted cannula methods.