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Endoscopic plantar fascia release.

Kathleen A Hogan1, Darby Webb, Michael Shereff

  • 1Medical University of South Carolina, Department of Orthopaedic Surgery, Charleston, SC 29425, USA. Hogan@musc.edu

Foot & Ankle International
|February 1, 2005
PubMed
Summary

Endoscopic plantar fascia release offers significant pain relief for chronic plantar fasciitis sufferers. This minimally invasive procedure provides high patient satisfaction and excellent outcomes, particularly for those with unilateral symptoms and no prior foot trauma.

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Area of Science:

  • Orthopaedic surgery
  • Minimally invasive procedures

Background:

  • Chronic plantar fasciitis often requires advanced treatment beyond conservative methods.
  • Endoscopic plantar fascia release is an emerging alternative to open surgery.

Purpose of the Study:

  • To evaluate the clinical outcomes of endoscopic plantar fascia release.
  • To identify factors influencing success rates in patients with chronic plantar fasciitis.

Main Methods:

  • Retrospective review of 22 patients undergoing endoscopic plantar fascia release.
  • Single surgeon data collection and analysis of clinical outcomes.

Main Results:

  • 97.7% patient satisfaction with at least 50% pain reduction post-surgery.
  • 68% of patients achieved good or excellent results based on the modified Mayo Foot and Ankle Score.

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  • Unilateral symptoms and absence of prior foot trauma correlated with better outcomes.

    • Conclusions:

    • Endoscopic plantar fascia release is beneficial for selected patients refractory to conservative care.
    • Patients without prior foot trauma and with unilateral symptoms experienced the best results.
    • The procedure demonstrates high satisfaction even with some residual pain.