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International Orthopaedics

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01-06-2013 | Original Paper

Endoscopic approach for plantar fasciopathy: a long-term retrospective study

Authors: Caio Nery, Fernando Raduan, Nacime Mansur, Daniel Baunfeld, Angelo Del Buono, Nicola Maffulli

Published in: International Orthopaedics | Issue 6/2013

Abstract

Purpose

The purpose of this study was to report the long term effectiveness of endoscopic plantar fascia release for recalcitrant plantar fasciopathy.

Materials

Twenty-three consecutive patients underwent endoscopically-assisted plantar fascia release for symptomatic plantar fasciopathy unresponsive to nonoperative measures. The clinical diagnosis was supported by imaging (plain radiographs and magnetic resonance imaging [MRI]) and the American Orthopaedic Foot & Ankle Society (AOFAS) score was administered to all patients. All patients underwent endoscopic plantar fascia release. Postoperatively, patients were assessed at clinical examination and the AOFAS score was administered.

Results

Twenty-two (26 feet) of the 23 patients included in our original cohort returned to our clinic at an average final follow-up of 9.6 years. The mean preoperative AOFAS score of 51 (range, 41–63) improved to 89 (range, 41–97) at the last follow-up, with no statistically significant difference between patients with or without calcaneal bone spur (p = 0.43). At the last appointment, physically active patients reported significantly higher AOFAS scores than sedentary patients (p = .008).

Conclusions

This endoscopic plantar approach could be a viable alternative to more invasive procedures for management of recalcitrant plantar fasciopathy. Future randomised controlled trials are needed.

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Title: Endoscopic approach for plantar fasciopathy: a long-term retrospective study
Authors: Caio Nery
Fernando Raduan
Nacime Mansur
Daniel Baunfeld
Angelo Del Buono
Nicola Maffulli
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 6/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-013-1847-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Endoscopic approach for plantar fasciopathy: a long-term retrospective study

Abstract

Purpose

Materials

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Materials

Results

Conclusions

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