Endoscopic Plantar Fasciotomy

2011 ◽  
pp. 73-79
Author(s):  
Steven L. Shapiro
Keyword(s):  
Plantar Fasciotomy

Clinical Outcomes of Percutaneous Plantar Fasciotomy Using Microdebrider Coblation Wand

2019 ◽  
Vol 41 (2) ◽  
pp. 187-192
Author(s):  
Ricardo E. Colberg ◽  
Monte Ketchum ◽  
Avani Javer ◽  
Monika Drogosz ◽  
Melissa Gomez ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Plantar Fasciitis ◽  
Case Series ◽  
Successful Outcome ◽  
Oral Steroid ◽  
Tarsal Tunnel ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Plantar Fasciotomy

Background: Plantar fasciitis is the most common cause of heel pain in adults. Multiple conservative treatment plans exist; however, some cases do not obtain significant clinical improvement with conservative treatment and require further intervention. This retrospective case study evaluated the success rate of percutaneous plantar fasciotomy and confounding comorbidities that negatively affect outcomes. Methods: A series of 41 patients treated with percutaneous plantar fasciotomy using the Topaz EZ microdebrider coblation wand were invited to participate in this retrospective follow-up study, and 88% ( N = 36) participated. A limited chart review was completed and the patients answered a survey with the visual analog scale (VAS) for pain and the Foot and Ankle Ability Measure (FAAM) questionnaire. Average outcomes were calculated and 45 variables were analyzed to determine if they were statistically significant confounders. Patients had symptoms for an average of 3 years before the procedure and were contacted for follow-up at an average of 14 months after the procedure. Results: The average VAS for pain score was 1.3 ± 1.8 and the average FAAM score was 92 ± 15. Eighty-nine percent of patients had a successful outcome, defined as FAAM greater than 75. In addition, patients at 18 months postprocedure reported complete or near-complete resolution of symptoms with an FAAM score greater than 97. Concurrent foot pathologies (eg, tarsal tunnel syndrome), oral steroid treatment prior to the procedure, and immobilization with a boot prior to the procedure were statistically significant negative confounders ( P < .05). Being an athlete was a positive confounder ( P = .02). Conclusion: Percutaneous plantar fasciotomy using a microdebrider coblation was an effective treatment for plantar fasciitis, particularly without concurrent foot pathology, with a low risk of complications. Level of Evidence: Level IV, retrospective case series.

scholarly journals Double column osteotomy for correction of residual adduction deformity in idiopathic clubfoot

2010 ◽  
Vol 92 (8) ◽  
pp. 673-679 ◽  
Author(s):  
Michel Eshak Loza ◽  
Sherif NG Bishay ◽  
Hassan Magdy El-Barbary ◽  
Atef Abdel-Aziz Zaki Hanna ◽  
Yehia Nour El-Din Tarraf ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Major Complication ◽  
Idiopathic Clubfoot ◽  
Grading System ◽  
Residual Deformity ◽  
Abductor Hallucis ◽  
Opening Wedge ◽  
Medial Cuneiform ◽  
Plantar Fasciotomy

INTRODUCTION Adduction of the forefoot is the most common residual deformity in idiopathic clubfoot. The ‘bean-shaped foot’, which is a term used to describe a clinical deformity of forefoot adduction and midfoot supination, is not uncommonly seen in resistant clubfoot. SUBJECTS AND METHODS Fifteen children (20 feet) with residual forefoot adduction in idiopathic clubfeet aged 3–7 years were analyzed clinically and radiographically. All of the cases were treated by double column osteotomy (closing wedge cuboid osteotomy and opening wedge medial cuneiform osteotomy) with soft tissue releases (plantar fasciotomy and abductor hallucis release), to correct adduction, supination and cavus deformities. Pre-operative measurements of certain foot angles were compared with their corresponding postoperative values. RESULTS A grading system for evaluation of the results using a point scoring system was suggested to evaluate accurately both clinical and radiographic results after a follow-up period of an average of 2.3 years. Eight feet (40%) had excellent, eight (40%) good, three (15%) fair, and one (5%) poor outcome. There was no major complication. There was significant improvement in the result (P > 0.04). CONCLUSIONS Double column osteotomy can be considered superior to other types of bone surgeries in correction of residual adduction, cavus and rotational deformities in idiopathic clubfoot.

Outcome following neurectomy of the deep branch lateral plantar nerve and plantar fasciotomy for hindlimb proximal suspensory desmopathy in western performance horses: 21 cases

2020 ◽  
Author(s):  
Dane M. Tatarniuk ◽  
Jacqueline A. Hill ◽  
Rolf B. Modesto ◽  
Tamara M. Swor ◽  
Stephanie S. Caston ◽  
...  
Keyword(s):  
Lateral Plantar Nerve ◽  
Deep Branch ◽  
Plantar Fasciotomy

Endoscopic Plantar Fasciotomy

2016 ◽  
pp. 913-919
Author(s):  
Steven L. Shapiro
Keyword(s):  
Plantar Fasciotomy

Endoscopic Plantar Fasciotomy

2009 ◽  
pp. 421-425
Author(s):  
Steven L. Shapiro
Keyword(s):  
Plantar Fasciotomy

Variations in the Origin of the Medial Calcaneal Nerve

2002 ◽  
Vol 92 (2) ◽  
pp. 97-101 ◽  
Author(s):  
A. Lee Dellon ◽  
Jaesuk Kim ◽  
Cecily M. Spaulding
Keyword(s):  
Tarsal Tunnel ◽  
Living Tissue ◽  
Tarsal Tunnel Syndrome ◽  
Calcaneal Spur ◽  
Human Cadavers ◽  
Tunnel Syndrome ◽  
Plantar Fasciotomy ◽  
Loupe Magnification ◽  
Insight Into ◽  
Neuroma Formation

Previous anatomic studies of the medial heel region were done on embalmed human cadavers. Here, the innervation of the medial heel region was studied by dissecting living tissue with the use of 3.5-power loupe magnification during decompression of the medial ankle for tarsal tunnel syndrome in 85 feet. The medial heel was found to be innervated by just one medial calcaneal nerve in 37% of the feet, by two medial calcaneal nerves in 41%, by three medial calcaneal nerves in 19%, and by four medial calcaneal nerves in 3%. An origin for a medial calcaneal nerve from the medial plantar nerve was found in 46% of the feet. This nerve most often innervates the skin of the posteromedial arch, where it is at risk for injury during calcaneal spur removal or plantar fasciotomy. Knowledge of the variations in location of the medial calcaneal nerves may prevent neuroma formation during surgery and provide insight into the variability of heel symptoms associated with tarsal tunnel syndrome. (J Am Podiatr Med Assoc 92(2): 97-101, 2002)

Effect of a sequential plantar fasciotomy on the width of the forefoot

2005 ◽  
Vol 11 (4) ◽  
pp. 207-210 ◽  
Author(s):  
Ute Waldecker ◽  
E. Roth ◽  
F. Bodem ◽  
A. Meurer ◽  
J. Heine
Keyword(s):  
Plantar Fasciotomy

Effect of the Plantar Fasciotomy on the Movement of the Foot Arch

2007 ◽  
Author(s):  
Yunfeng Yang ◽  
Guangrong Yu ◽  
Siping Huang ◽  
Mingxin Wang ◽  
Wenxin Niu ◽  
...  
Keyword(s):  
Foot Arch ◽  
Plantar Fasciotomy

Functional Outcome of Endoscopic Plantar Fasciotomy

2012 ◽  
Vol 2012 ◽  
pp. 321-322
Author(s):  
B.F. Morrey
Keyword(s):  
Functional Outcome ◽  
Plantar Fasciotomy
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