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A Case Report - K Wire as Guide in Endoscopic Plantar Fascia Release for Beginners
Hari Krishna Yadoji1, Ashok Raju Gottemukkala1, Vasudeva Juvvadi1
1Department of Orthopaedics, Care Hospital, Hitech City, Hyderabad, Telangana, India.
Introduction:
This case report is to emphasize the role of K wire in localizing the plantar fascia and calcaneum spur during endoscopic plantar fascia release (EPER). Plantar fasciitis is a very common problem in society. Most of the cases get good relief with physiotherapy, a change in footwear, and medication. Some cases might need steroid/platelet-rich plasma (PRP) injections. In a few refractory cases, pain remains even after extensive physiotherapy and plantar fascia injections. Such cases can be benefitted by plantar fascia release. Several techniques have been described for fascia release, including open, percutaneous, and endoscopic release.
Case Report:
This is a 40-year-old female with severe pain in the heel while walking, particularly in the morning since 2 years. She was treated earlier with physiotherapy, a change in footwear, steroid and PRP injection. X-rays of the ankle show a calcaneum spur. Magnetic resonance imaging shows an 8 mm-thick plantar fascia.
Conclusion:
A simple k wire is a useful tool in a procedure like EPER, which has a steep learning curve. The use of k wire alleviates the complications of excess soft tissue and fat pad dissection and reduces the radiographic assistance.