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The medial instep plantar fasciotomy
G K Perelman1, M A Figura, N S Sandberg
1Deaconess Medical Center West Campus, St. Louis, Missouri, USA.
Summary
This study reviewed plantar fasciitis treatments, introducing a medial instep plantar fasciotomy. The procedure offered significant pain relief and high patient satisfaction in 50 feet.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Musculoskeletal Disorders
Background:
- Plantar fasciitis is a common cause of heel pain.
- Conservative treatments are often prolonged and may fail.
- Surgical intervention is considered when non-operative methods are exhausted.
Purpose of the Study:
- To review the anatomy, etiology, and treatment options for plantar fasciitis.
- To introduce and evaluate a specific surgical technique: medial instep plantar fasciotomy.
- To assess the efficacy and patient satisfaction following this surgical procedure.
Main Methods:
- A review of existing literature on plantar fasciitis.
- Performance of medial instep plantar fasciotomy on 50 previously untreated feet (41 patients).
- Follow-up assessment at an average of 11.3 months post-surgery.
Main Results:
- 82.6% of patients achieved at least 90% pain relief.
- 97.8% of patients experienced at least 80% pain relief.
- 91.3% of patients reported at least 80% satisfaction; high likelihood of recommending the procedure.
Conclusions:
- Medial instep plantar fasciotomy is an effective surgical option for recalcitrant plantar fasciitis.
- The procedure demonstrates high rates of pain relief and patient satisfaction with minimal complications.
- Conservative management should be thoroughly attempted prior to surgical consideration.