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Recurrent plantar fibromatosis
P A Landers1, G V Yu, J M White
1Mt. Sinai Medical Center, Cleveland, Ohio.
Summary
Plantar fibromas require aggressive surgical removal of the mass and plantar fascia to prevent recurrence. This paper reviews literature and clinical cases of recurrent plantar fibromatosis, offering long-term follow-up insights.
Area of Science:
- Orthopedic Surgery
- Dermatopathology
- Podiatric Medicine
Background:
- Plantar fibromas are benign fibroblastic tumors affecting the plantar fascia.
- Recurrence is common following surgical intervention.
- Accurate diagnosis and complete excision are critical for successful treatment.
Purpose of the Study:
- To review the existing literature on plantar fibromatosis.
- To present clinical illustrations of recurrent cases.
- To provide long-term follow-up data on management strategies.
Main Methods:
- Comprehensive literature search on plantar fibromatosis and its recurrence.
- Analysis of clinical case studies with long-term patient follow-up.
- Review of surgical techniques and outcomes for recurrent disease.
Main Results:
- Aggressive surgical resection of the fibroma and involved plantar fascia is essential to minimize recurrence.
- Recurrent plantar fibromatosis presents unique challenges in diagnosis and management.
- Long-term follow-up demonstrates the importance of thorough surgical technique.
Conclusions:
- Complete surgical excision of plantar fibromas, including affected fascia, is crucial for preventing recurrence.
- Understanding the patterns of recurrence is vital for effective patient management.
- This review underscores the need for meticulous surgical planning and execution in treating plantar fibromatosis.