JLE

Médecine et chirurgie du pied

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One portal endoscopic treatment in plantar fasciitis: preliminary results of a prospective study Volume 26, issue 3, Octobre 2010

Authors

Introduction

The treatment of plantar fasciitis is foremost medical; surgery should only be put forward as a second choice. The inconvenience of open surgical treatment is that it is a source of skin or infectious complications, and it can also lead to extended periods of inactivity. The main advantage of endoscopic surgical treatment is to reduce those inconveniences.

Hypothesis

What could be the benefit of a one-way endoscopic treatment within the framework of plantar fasciitis?

Equipment and method

We used an equipment known as Agee with a knife set on an hand piece used. After a preliminary cadaveric study on eight feet, we carried out a prospective monocentric series starting from January 2008. This series is composed of five women and three men aged 57 on average, operated on by the same surgeon. The average BMI is 28. The intervention took place on average after 20.3 months of symptomatology and of medical treatment.

Results

We do not notice any premature or secondary complications. The scar is both aesthetic and small. The static of the foot does not show any iatrogenic trouble. The limp present in 75% of the cases has disappeared. The surgical act lasts 11 minutes on average.

Discussion

The aim of our study is to show the advantages of a one-way endoscopic surgical treatment compared with other surgical techniques. Conventional open surgery is a source of postoperative pain and healing problems. It includes an infectious risk and also exposes to functional impotence. Even though the average hindsight is of only 8.4 months, we do not notice any skin, infectious, or functional complications, the static of the foot being kept by respecting the lateral fascia of the fasciitis.