medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2009, Number 4

<< Back Next >>

Acta Ortop Mex 2009; 23 (4)

Percutaneous surgery for plantar fasciitis due to a calcaneal spur

Apóstol-González S, Herrera J

Language: Spanish
References: 13
Page: 209-212
PDF size: 56.77 Kb.


ABSTRACT

Objective: Determine the efficacy of percutaneous surgical treatment for talalgia due to a calcaneal spur. Material and methods: This is an observational, descriptive, clinical series analyzing the outcomes of 10 patients with a diagnosis of talalgia due to plantar fasciitis with a calcaneal spur treated with percutaneous foot surgery. The end result was assessed with a visual analog scale (VAS) to measure pain, the patients’ opinion and their return to activities of daily living. Central tendency and scatter measurements were calculated. The inferential analysis was done with the non-parametric chi square (χ2) test. Results: Most patients were females (90%) and mean age was 40.5 years. Follow-up was 12 months. One patient had bleeding of the approached area. Pain was reduced from 8 to 1.5 in the VAS. Nine patients returned to their activities. Two patients had occasional mild pain upon prolonged bipedestation. Ninety percent of results were satisfactory. Conclusions: Percutaneous foot surgery in talalgias caused by plantar fasciitis due to a calcaneal spur is a simple and effective method. It reduces the operative time and allows for an early return of patients to their activities of daily living.


REFERENCES

  1. Marafkó C: Endoscopic partial plantar fasciotomy as a treatment alternative in plantar fasciitis. Acta Chir Orthop Traumatol Cech 2007; 74(6): 406-9.

  2. Somchai P: The heel pad in plantar heel pain. J. Bone Joint Surg [Br] 1994; 76: 140-2.

  3. Pribut SM: Current approaches to the management of plantar heel pain syndrome, including the role of injectable corticosteroids. J Am Podiatr Med Assoc 2007; 97(1): 68-74.

  4. Paice EW, Hoffbrand BI: Nutritional osteomalacia presenting with plantar fasciitis J Bone Joint Surg] 1987; 69-B: 38-40.

  5. Rodríguez-Blanco C, Ojeda-León H, Ochoa-Ochoa C: Hallazgos anatomopatológicos en el periostio del espolón calcáneo. Rev Cub Ortop Traum 2002; 16(1-2): 82-5.

  6. De Prado M, Ripoll PL, Golanó P: Cirugía percutánea del pie: técnicas quirúrgicas, indicaciones y bases anatómicas. Ed. 2004 Edit. Masson Doyma México, SA. 2004 Cap. 15.

  7. Cheung JT, An KN, Zhang M: Consequences of partial and total plantar fascia release: a finite element study. Foot Ankle Int 2006; 27(2): 125-32.

  8. Saxena A: Uniportal endoscopic plantar fasciotomy: a prospective study on athletic patients. Foot Ankle Int 2004; 25(12): 882-9.

  9. Lundeen RO, Aziz S, Burks JB, Rose JM: Endoscopic plantar fasciotomy: a retrospective analysis of results in 53 patients. J Foot Ankle Surg 2000; 39(4): 208-17.

  10. Benton-Weil W, Borrelli AH, Weil LS. Jr, Weil LS Sr: Percutaneous plantar fasciotomy: a minimally invasive procedure for recalcitrant plantar fasciitis. J Foot Ankle Surg 1998; 37(4): 269-72.

  11. Kinley S, Frascone S, Calderone D, et al: Endoscopic plantar fasciotomy versus traditional heel spur surgery: a prospective study. J Foot Ankle Surg 1993; 32(6): 595-603.

  12. Barret SL, Day SV: Endoscopic plantar fasciotomy for chronic plantar fasciitis/heel spur syndrome: surgical technique early clinical results. J Foot Surg 1991; 30(6): 568-70.

  13. Woelffer KE, Figura MA, Sandberg NS, Snyder NS: Five-year follow-up results of instep plantar fasciotomy for chronic heel pain. J Foot Ankle Surg 2000; 39(4): 218-23.




2020     |     www.medigraphic.com