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Surgery for Patients With Recalcitrant Plantar Fasciitis: Good Results at Short-, Medium-, and Long-term Follow-up.

Wheeler P, Boyd K, Shipton M - Orthop J Sports Med (2014)

Bottom Line: Patients reported an average reduction in pain by visual analog scale of 79%, and 84% of patients were happy with the surgical results.No deterioration in success was seen over time.The results of current operative techniques need to be fully investigated for longer term success, as do the outcomes of newer nonoperative management strategies.

View Article: PubMed Central - PubMed

Affiliation: Sport & Exercise Medicine Department, University Hospitals of Leicester NHS Trust, Leicester, UK. ; School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, UK. ; Department for Health, University of Bath, Bath, UK.

ABSTRACT

Background: Plantar fasciitis is a common cause of foot pain, and although many episodes are self-limiting with short duration, 10% leave chronic symptoms. Recalcitrant cases can be managed surgically, with studies demonstrating good results in the short term but uncertainties over longer term outcomes.

Purpose: To assess the outcome following surgical intervention for patients with plantar fasciitis.

Study design: Case series; Level of evidence, 4.

Methods: Seventy-nine patients were identified from operative diaries undergoing plantar fasciotomy surgery between 1993 and 2009. They were contacted to investigate long-term results using self-reported outcome measures.

Results: Sixty-eight responses were received (86% response rate), with an average of 7 years (range, 1-15 years) of follow-up. Patients reported an average reduction in pain by visual analog scale of 79%, and 84% of patients were happy with the surgical results. Greater success was achieved in patients with shorter duration of symptoms preoperatively. No deterioration in success was seen over time.

Conclusion: Plantar fasciotomy surgery for plantar fasciitis remains controversial, with biomechanical arguments against surgery; however, this article reports good success following surgery over a long follow-up period. The results of current operative techniques need to be fully investigated for longer term success, as do the outcomes of newer nonoperative management strategies.

No MeSH data available.


Related in: MedlinePlus

Subjective improvement with length of time postoperatively.
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fig2-2325967114527901: Subjective improvement with length of time postoperatively.

Mentions: As demonstrated in Figure 2, there was no apparent drop-off for success over time following surgery, and if anything, there appears to have been an increasing reduction in pain. The average reduction in postoperative VAS (± standard deviation) for different periods of time was as follows: 0-3 years postoperatively, 68% ± 0.35%; 3.1-5.0 years, 74% ± 0.37%; 5.1-7.0 years, 80% ± 0.34%; 7.1-10 years, 86% ± 0.27%; >10 years, 88% ± 0.26%. The differences between these groups were not found to be significant.


Surgery for Patients With Recalcitrant Plantar Fasciitis: Good Results at Short-, Medium-, and Long-term Follow-up.

Wheeler P, Boyd K, Shipton M - Orthop J Sports Med (2014)

Subjective improvement with length of time postoperatively.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4555569&req=5

fig2-2325967114527901: Subjective improvement with length of time postoperatively.
Mentions: As demonstrated in Figure 2, there was no apparent drop-off for success over time following surgery, and if anything, there appears to have been an increasing reduction in pain. The average reduction in postoperative VAS (± standard deviation) for different periods of time was as follows: 0-3 years postoperatively, 68% ± 0.35%; 3.1-5.0 years, 74% ± 0.37%; 5.1-7.0 years, 80% ± 0.34%; 7.1-10 years, 86% ± 0.27%; >10 years, 88% ± 0.26%. The differences between these groups were not found to be significant.

Bottom Line: Patients reported an average reduction in pain by visual analog scale of 79%, and 84% of patients were happy with the surgical results.No deterioration in success was seen over time.The results of current operative techniques need to be fully investigated for longer term success, as do the outcomes of newer nonoperative management strategies.

View Article: PubMed Central - PubMed

Affiliation: Sport & Exercise Medicine Department, University Hospitals of Leicester NHS Trust, Leicester, UK. ; School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, UK. ; Department for Health, University of Bath, Bath, UK.

ABSTRACT

Background: Plantar fasciitis is a common cause of foot pain, and although many episodes are self-limiting with short duration, 10% leave chronic symptoms. Recalcitrant cases can be managed surgically, with studies demonstrating good results in the short term but uncertainties over longer term outcomes.

Purpose: To assess the outcome following surgical intervention for patients with plantar fasciitis.

Study design: Case series; Level of evidence, 4.

Methods: Seventy-nine patients were identified from operative diaries undergoing plantar fasciotomy surgery between 1993 and 2009. They were contacted to investigate long-term results using self-reported outcome measures.

Results: Sixty-eight responses were received (86% response rate), with an average of 7 years (range, 1-15 years) of follow-up. Patients reported an average reduction in pain by visual analog scale of 79%, and 84% of patients were happy with the surgical results. Greater success was achieved in patients with shorter duration of symptoms preoperatively. No deterioration in success was seen over time.

Conclusion: Plantar fasciotomy surgery for plantar fasciitis remains controversial, with biomechanical arguments against surgery; however, this article reports good success following surgery over a long follow-up period. The results of current operative techniques need to be fully investigated for longer term success, as do the outcomes of newer nonoperative management strategies.

No MeSH data available.


Related in: MedlinePlus