Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 9/2013

01-09-2013 | Original Paper

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Authors: Manuel Monteagudo, Ernesto Maceira, Virginia Garcia-Virto, Rafael Canosa

Published in: International Orthopaedics | Issue 9/2013

Login to get access

Abstract

Purpose

The purpose of this study was to compare results of partial proximal fasciotomy (PPF) with proximal medial gastrocnemius release (PMGR) in the treatment of chronic plantar fasciitis (CPF).

Method

This retrospective study compares 30 patients with CPF that underwent PPF with 30 that underwent isolated PMGR. Both groups were matched in terms of previous treatments and time from onset of symptoms to surgery. Different standardised evaluation scales (VAS, Likert, AOFASh) were used to evaluate results.

Results

Plantar fasciotomy had satisfactory results in just 60 % of patients, with an average ten weeks needed to resume work and sports. Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at three weeks on average. Functional and pain scores were considerably better for PMGR and fewer complications registered.

Conclusion

In our series, isolated PMGR is a simple and reliable procedure to treat patients with CPF. It provides far better results than conventional fasciotomy with less morbidity and better patient satisfaction, and thus has become our surgical procedure of choice in recalcitrant CPF.
Literature
1.
Riddle DL, Schappert SM (2004) Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 25:303–310PubMed
2.
Aronow MS, Diaz-Doran V, Sullivan RJ, Adams DJ (2006) The effect of triceps surae contracture force on plantar foot pressure distribution. Foot Ankle Int 27:43–52PubMed
3.
Silfverskiöld N (1923) Reduction of the uncrossed two-joint muscles of the leg to one joint muscles in spastic conditions. Acta Chir Scand 56:315–330
4.
Abbassian A, Kohls-Gatzoulis J, Solan MC (2012) Proximal medial gastrocnemius release in the treatment of recalcitrant plantar fasciitis. Foot Ankle Int 33(1):14–19PubMedCrossRef
5.
LaFuente AG, O’Mullony IM, Escriba M, Cura-Iriarte P (2007) Plantar fasciitis: evidence-based review of treatment. Reumatol Clin 3(4):159–165CrossRef
6.
Martinelli N, Marinozzi A, Carni S, Trovato U, Bianchi A, Denaro V (2013) Platelet-rich plasma injections for chronic plantar fasciitis. Int Orthop 37(5):839–842PubMedCrossRef
7.
Lemont H, Ammirati KM, Usen N (2003) Plantar fasciitis. A degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc 93(3):234–237PubMed
8.
Carlson RE, Fleming LL, Hutton WC (2000) The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot Ankle Int 21:18–25PubMed
9.
Radford JA, Burns J, Buchbinder R, Landorf KB, Cook C (2006) Does stretching increase ankle dorsiflexion range of motion? A systematic review. Br J Sports Med 40:870–875CrossRef
10.
DiGiovanni CW, Kuo R, Tejwani N, Price R, Hansen ST Jr, Cziernecki J, Sangeorzean BJ (2002) Isolated gastrocnemius tightness. JBJS 84(A):962–970
11.
Sammarco GJ, Helfrey RB (1996) Surgical treatment of recalcitrant plantar fasciitis. Foot Ankle Int 17:520–526PubMedCrossRef
12.
Bader L, Park K, Gu Y, O’Malley MJ (2012) Functional outcome of endoscopic plantar fasciotomy. Foot Ankle Int 33(1):37–43PubMedCrossRef
13.
Kinley S, Frascone S, Calderone D, Wertheimer SJ, Squire MA, Wiseman FA (1993) Endoscopic plantar fasciotomy versus traditional heel spur surgery: a prospective study. J Foot Ankle Surg 32:595–603PubMed
14.
Davies MS, Weiss GA, Saxby TS (1999) Plantar fasciitis: how successful is surgical intervention? Foot Ankle Int 20:803–807PubMedCrossRef
15.
Maskill JD, Bohay DR, Anderson JG (2010) Gastrocnemius recession to treat isolated foot pain. Foot Ankle Int 31:19–23PubMedCrossRef
16.
Patel A, DiGiovanni B (2011) Association between plantar fasciitis and isolated contracture of the gastrocnemius. Foot Ankle Int 32:5–8PubMedCrossRef
17.
Erdimir A, Hamel AJ, Fauth AR, Piazza SJ, Sharkey NA (2004) Dynamic loading of the plantar aponeurosis in walking. JBJS 86(A):546–552
18.
Riddle DL, Pulisic M, Pidcoe P, Johnson RE (2003) Risk factors for plantar fasciitis: a matched case–control study. J Bone Joint Surg Am 85:872–877PubMed
19.
Herzenberg JE, Lamm BM, Corwin C, Sekel J (2007) Isolated recession of the gastrocnemius muscle: the Baumann procedure. Foot Ankle Int 28:1154–1159PubMedCrossRef
20.
Barouk LS, Barouk P, Toulec E (2006) Resulltats de la liberation proximale des gastrocnemiens. Etude prospective symposium “Brieveté des gastrocnemiens”, journées de Printemps SFMCP-AFCP, Toulouse. Med Chir Pied 22:151–156
21.
Hamilton PD, Brown M, Ferguson N, Adebibe M, Maggs J, Solan MC (2009) Surgical anatomy of the proximal release of the gastrocnemius: a cadaveric study. Foot Ankle Int 30(12):1202–1206PubMedCrossRef
22.
Chimera NJ, Castro M, Manal K (2010) Function and strength following gastrocnemius recession for isolated gastrocnemius contraction. Foot Ankle Int 31(5):377–384PubMedCrossRef
Metadata
Title
Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession
Authors
Manuel Monteagudo
Ernesto Maceira
Virginia Garcia-Virto
Rafael Canosa
Publication date
01-09-2013
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 9/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2022-2

Other articles of this Issue 9/2013

International Orthopaedics 9/2013 Go to the issue

Review Article

Hallux valgus and hypermobility of the first ray: facts and fiction

Original Paper

Surgical treatment of Morton's neuroma: clinical results after open excision

Review Article

Minimally invasive hallux valgus surgery: a critical review of the evidence

Original Paper

Comparison of the short-term and long-term results of the Ponseti method in the treatment of idiopathic pes equinovarus

Original Paper

Lateral ankle instability in high-demand athletes: reconstruction with fibular periosteal flap

Original Paper

Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity