Monteagudo, Int Orthop 2013 - Chronic Plantar Fasciitis: Plantar Fasciotomy versus Gastrocnemius Recession - Article Summary

Chronic Plantar Fasciitis: Plantar Fasciotomy versus Gastrocnemius Recession

Monteagudo, Canosa, et al.·Int Orthop·2013·118 citations·Retrospective cohort

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).

Methods

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 10 weeks needed to resume work and sports.
Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at 3 weeks on average.
Functional and pain scores were considerably better for PMGR and fewer complications registered.

Conclusions

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.

Supplemental

Chronic Plantar Fasciitis: Plantar Fasciotomy versus Gastrocnemius Recession.

Monteagudo, Canosa, et al.Int Orthop2013118 citationsRetrospective cohort

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Chronic Plantar Fasciitis: Plantar Fasciotomy versus Gastrocnemius Recession

Monteagudo, Canosa, et al.·Int Orthop·2013·118 citations·Retrospective cohort

Free Full Text·DOI·PubMed

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).

Methods

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 10 weeks needed to resume work and sports.
Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at 3 weeks on average.
Functional and pain scores were considerably better for PMGR and fewer complications registered.

Conclusions

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).

Methods

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 10 weeks needed to resume work and sports.
Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at 3 weeks on average.
Functional and pain scores were considerably better for PMGR and fewer complications registered.

Conclusions

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).

Methods

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 10 weeks needed to resume work and sports.
Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at 3 weeks on average.
Functional and pain scores were considerably better for PMGR and fewer complications registered.