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Minimal invasive percutaneous bipolar radiofrequency for plantar fasciotomy: a retrospective study
Jones Hormozi1, Suzette Lee, Daniel K Hong
1Providence Tarzana Medical Center Podiatric Residency Program, Southern California Kaiser Permanente (Kaiser Woodland Hills, Kaiser West Los Angeles, Kaiser South Bay and Kaiser Baldwin Park), Los Angeles, CA 91356, USA. drjhormozi@hotmail.com
Abstract:
The purpose of this study was to present the results of a relatively new, minimally invasive surgical technique for the treatment of chronic plantar fasciitis in 14 patients, 2 of whom underwent the treatment bilaterally one foot at time on separate occasions. This was a retrospective, multicenter, nonrandomized study. All of the patients had failed conservative therapy and had symptoms for at least 6 months. The mean follow-up duration was 15.25 months (range, 6-33 months). The postoperative mean American Orthopaedic Foot & Ankle Society hindfoot score was 82.06 (range, 56-100). None of the patients developed complex regional pain syndrome, and all but 2 (14.29% of patients, 12.5% of feet) of the patients were able to return to regular shoe gear by 2-4 weeks postoperative, and only 1 (7.14% of patients, 6.25% of feet) patient was considered a treatment failure. Based on our experience with minimally invasive percutaneous bipolar radiofrequency plantar fasciotomy, we believe the technique to be a relatively easy intervention that is effective and requires less healing time in comparison with traditional open surgical procedures.