Indikation, OP-Technik und Ergebnisse des endoskopischen Releases der Plantarfaszie (ERPF)

Jerosch, J.; Schunck, J.; Liebsch, D.; Filler, Timm J.

doi:10.1007/s10302-004-0063-y

Cited by 4 publications

(2 citation statements)

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“…Conservative treatment of clinical symptoms includes local corticosteroid injection, NSAIDs, and ultrasound waves [21], elevation of the heel with a heel cushion and footwear without heel counter are also indicated. However, conservative treatment even over months may some times not be effective in some cases and shows a high recurrence rate [18, 35, 38].…”

Section: Introductionmentioning

confidence: 99%

“…This surgical intervention was in the form of open resection calcaneoplasty of the dorso‐lateral part of the calcaneus up to the insertion of the Achilles tendon. But the results after open resection of the calcaneal exostosis are not always satisfying [18, 27, 28, 30, 32, 35]. The endoscopic approach for this entity was first described by Van Dijk et al [36].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic calcaneoplasty (ECP) as a surgical treatment of Haglund’s syndrome

Jerosch

Schunck

Sokkar

2007

Knee Surg Sports Traumatol Arthr

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Posterior calcaneal exostosis treatment modalities showed many controversial opinions. After failure of the conservative treatment, surgical bursectomy and resection of the calcaneal exostosis are indicated by many authors. But clinical studies also show a high rate of unsatisfactory results with a relative high incidence of complications. The minimal surgical invasive technique by an endoscopic calcaneoplasty (ECP) could be an option to overcome some of these problems. We operated on 81 patients with an age range between 25 and 55 years, 40 males and 41 females. The radiologic examination prior to surgery documented in all cases a posterior superior calcaneal exostosis that showed friction to the Achilles tendon. All patients included in the study had neither clinical varus of the hind foot nor cavus deformities. All patients had undergone a trial of conservative treatment for at least 6 months and did not show a positive response. The average follow-up was 35.3 months (12-72). According to the Ogilvie-Harris-Score, 34 patients presented good and 41 patients excellent results, while three patients showed fair results, and three patients only poor results. All the post-operative radiographs showed sufficient resection of the calcaneal spur. Only minor postoperative complications were observed. ECP is an effective and of minimal-invasive procedure for the treatment of patients with calcaneal exostosis. After a short learning curve, the endoscopic exposure is superior to the open technique has less morbidity, less operating time, and nearly no complications; moreover, the pathology can better be differentiated.

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Section: Introductionmentioning

confidence: 99%