Percutaneous release of the plantar fascia. New surgical procedure

Oliva, Francesco; Piccirilli, Eleonora; Tarantino, Umberto; Maffulli, Nicola

doi:10.11138/mltj/2017.7.2.338

Cited by 18 publications

(22 citation statements)

References 21 publications

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“…With the design limitation of a retrospective study, our results could be affected by various factors, such as selection bias, small sample size, and lack of long-term follow-up period compared with randomized clinical trials [38]. In the other hand, small sample size is common in many of the available reports.The shield could protect surrounding tissues when pantar facia were cut compared with the way published by Oliva F [39]. Percutaneous radiofrequency ablation is a new technique of intractable plantar aponeurositis.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

Yuan

Lü

et al. 2020

Preprint

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Background: Heel pain is one of the most common complaints in foot and ankle clinic and one of the leading causes of heel pain is plantar fasciitis. Methods: A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, there were 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analogue scale (VAS) and American orthopaedic foot and ankle society ankle-hindfoot scale (AOFAS-AH) before and after surgery in all patients. Results: All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient’s demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer time than the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no difference of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion: Symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time.Trial registration: Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

Yuan

Lü

et al. 2020

Preprint

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“…Various surgical techniques have been reported in the literature: endoscopic plantar fasciotomy, open plantar fascia release, open or percutaneous plantar fasciotomy, median calcaneal nerve neurolysis, and calcaneal osteotomy with resection of parts of the fascia. 67,68 These options are the same when DM patients are involved. There has been a lack of RCTs to date comparing the efficacy of these various surgical procedures.…”

Section: Casts Devices and Immobilizationmentioning

confidence: 99%

“…The reported success rates vary between the studies, and they typically range between 50 and 90%. 67,68 Currently, most experts tend to opt for an endoscopic minimally invasive surgical approach as opposed to a large open surgery, as a minimally invasive approach generally leads to a faster recovery while providing a similar degree of clinical pain relief after one year. 69 The use of therapeutic ultrasound during surgery does not appear to offer any additional benefit.…”

Section: Casts Devices and Immobilizationmentioning

confidence: 99%

<p>Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management</p>

Gariani¹,

Waibel²,

Viehöfer³

et al. 2020

DMSO

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Plantar fasciitis (PF) is a common degenerative disorder and a frequent cause of heel pain, mostly affecting patients in their fourth and fifth decades. Diabetic patients are particularly at risk due to the presence of common risks and co-morbidities such as obesity or a sedentary lifestyle. The diagnosis of PF is mainly clinical. Imaging is not recommended for the initial approach. The initial management is conservative and should include physiotherapy, off-loading, stretching exercises, and nonsteroidal anti-inflammatory drugs. Glucocorticoid injections or surgery is an option at a later stage in recalcitrant cases. The overall management of PF does not differ between patients with diabetic foot problems and non-diabetic patients, although the details can differ. This narrative review summarizes the state of the art in terms of the risk factors, pathophysiology, diagnosis, assessment, and management of PF in diabetic patients.

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“…Diagnosis of PF is essentially clinical (Oliva et al, 2017). The cardinal symptom of PF is the intense and acute heel pain localized primarily where plantar fascia attaches to the anterior calcaneus (Petraglia et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Around 90% of patients with PF will find that their symptoms resolve within 12 months with conservative treatment (Crawford and Thomson, 2003), but about one tenth of cases may fail to respond to it. The first level of treatment would include the use of non-steroidal anti-inflammatory drugs (NASAIDs), specific physical exercises (such as stretching of the plantar fascia), foot insoles, night splints, ice massage, and patient's instructions to lose weight, activity modifications, and not to use flat shoes or walk barefoot (Akınoğlu and Köse, 2018;Celik et al, 2016;Cinar et al, 2018;Huffer et al, 2017;Lim et al, 2016Lim et al, , 2016Montesano et al, 2020;Oliva et al, 2017;Palermi et al, 2020;Sirico et al, 2018). Other treatment options are local injections of corticosteroids (CSs) (Gurcay et al, 2017), anaesthetic, and botulinum toxin (Ahmad et al, 2017); extracorporeal shock wave therapy Hsu et al, 2018;Reilly et al, 2018); ultrasound scanning; radiofrequency ablation (Akınoğlu and Köse, 2018;Ozan et al, 2017); cryopreserved human amniotic membrane injections (Hanselman et al, 2015); prolotherapy (Kim and Lee, 2014;Ryan et al, 2009); ozone injections (Bahrami et al, 2019); hyaluronic acid injections (Kumai et al, 2018); platelet-rich plasma injections (PRP) (Chen et al, 2019;Franceschi et al, 2014;Singh et al, 2017;Sirico et al, 2017;Soraganvi et al, 2019); and surgical, such as endoscopic release (Al-Ashhab et al, 2018;Bernhard et al, 2018;Oliva et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided collagen injections for treatment of plantar fasciopathy in runners: A pilot study and case series

Corrado¹,

Bonini²,

Tarantino³

et al. 2020

Journal of Human Sport and Exercise - 2020 - Spring Conferences of Sports Science

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Background. Plantar fasciopathy is a frequent source of foot pain in athletes, and it is caused by the degeneration of the proximal insertion of the plantar fascia, usually triggered by repetitive microtrauma. Type I porcine collagen was shown to enhance tendon repair in vitro, and collagen injections are currently used to treat different tendinopathies. The aim of this study is to verify the effectiveness of collagen injections on pain and function in runners with plantar fasciopathy. Methods. Runners, who have been suffering from plantar fasciopathy for at least 6 months, were treated with a series of 4 ultrasound-guided type I porcine collagen injections, at weekly intervals. The Visual Analogue Scale, American Orthopedic Foot and Ankle Society-Ankle Hindfoot score and pressure algometry were used to verify the effects of collagen injections at 1-month and 3-month follow-up. Results. Compared to baseline, minor (p ≥ .05) and major (p ≤ .001) improvements on pain and function were registered at 1-month and 3-month follow-up, respectively. Conclusion. This is the first study that evaluates the effectiveness of collagen injections in the treatment of plantar fasciopathy in runners. Despite the limitations of this study, the positive findings could represent the starting point for further clinical trials.

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Percutaneous release of the plantar fascia. New surgical procedure

Cited by 18 publications

References 21 publications

Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

Comparison of the Therapeutic Outcomes between Open Plantar Fascia Release and Percutaneous Radiofrequency Ablation in the Treatment of Intractable Plantar Fasciitis

<p>Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management</p>

Ultrasound-guided collagen injections for treatment of plantar fasciopathy in runners: A pilot study and case series

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