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Related Experiment Videos

Endoscopic plantar fascia release.

D J Ogilvie-Harris1, J Lobo

  • 1Toronto Hospital, and University of Toronto, Toronto, Ontario, Canada.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|April 6, 2000
PubMed
Summary

A safe plantar fascia division procedure effectively relieved heel pain and morning stiffness in most patients. This surgical option offers good results for carefully selected patients with intractable heel pain, allowing a return to sports.

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Anatomy

Background:

  • Plantar fasciitis is a common cause of heel pain.
  • Conservative treatments often fail for chronic cases.
  • Surgical intervention may be necessary for intractable symptoms.

Purpose of the Study:

  • To describe a safe surgical technique for plantar fascia division.
  • To evaluate the clinical outcomes of this procedure for heel pain relief.

Main Methods:

  • Anatomic exploration to identify reliable landmarks for safe plantar fascia division.
  • Clinical study involving 53 patients (65 feet) undergoing the procedure.
  • Follow-up assessment of pain, stiffness, sports activity, and complications.

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Main Results:

  • Effective relief of heel pain (89%) and morning stiffness (92%).
  • 71% of patients returned to unrestricted sports activity.
  • Low complication rate (2 cases of lateral heel pain).

Conclusions:

  • Plantar fascia division using specific landmarks is a safe and effective treatment for intractable heel pain.
  • Proper patient selection and adherence to conservative treatment are crucial for success.
  • The procedure offers good outcomes with minimal short-term morbidity.