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Plantar fibromatosis: Surgical approach of a giant bilateral case
Jorge Ocampo-Garza1,2, Rafael Azevedo Cunha2, Caroline Silva Pereira2
1Dermatology Department, University Hospital "Dr José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.
Background:
Plantar fibromatosis or Ledderhose disease is characterized by a benign fibroblastic proliferation of the plantar fascia. It is an illness with unknown etiology and a complex treatment in its most intense manifestation.
Objective:
The authors describe a surgical option for extensive cases where conservative treatments are not successful. Surgical techniques may vary according to the site and extent of the lesions.
Methods:
Surgical treatment with wide resection of the lesion and second intention healing using a hydrocolloid dressing.
Results:
After a 3-year follow-up with no recurrence, the authors demonstrated an excellent result, which led to an important improvement in the patient's quality of life.
Conclusion:
Surgical treatment can be a good option for plantar fibromatosis. Giant lesions can be treated with wide excisions and second intention healing, with low risk of aesthetic and functional complications.
