Minimally invasive surgical treatments versus non-surgical treatments or placebo for plantar fasciopathy: A systematic review.

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2025-05-01 DOI:10.1016/j.fas.2025.04.009

Stefan Møller, Jonas Ammundsen Ipsen, Henriette Jahn Aunass, Per Aagaard, Bjarke Viberg, Ane Simony, Henrik Riel

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引用次数: 0

Abstract

Background: Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF).

Methods: We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo.

Results: Eight studies were included. The results demonstrated statistically significant superiority in pain reduction for percutaneous needle treatments compared to non-surgical treatments or placebo in five studies. One study compared endoscopic plantar fascia release to exercise and corticosteroid injections and found a statistically significant superiority of endoscopic plantar fascia release.

Conclusions: This systematic review found promising effects of needle treatments to reduce pain among patients with PF. Endoscopic plantar fascia release was superior to the comparator in one of three studies. High risks of bias and methodological heterogeneity limit the strength of the available evidence.

Level of clinical evidence: II.

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微创手术治疗与非手术治疗或安慰剂治疗足底筋膜病：一项系统综述。

背景：由于微创手术治疗（MIST）的进展，本系统综述旨在探讨与非手术治疗或安慰剂相比，MIST在改善足底筋膜病（PF）患者疼痛方面的有效性。方法：我们系统地检索了相关数据库，以比较MIST与非手术治疗或安慰剂的同行评议研究。结果：纳入8项研究。结果显示，在五项研究中，经皮针刺治疗与非手术治疗或安慰剂治疗相比，在减轻疼痛方面具有统计学上的显著优势。一项研究比较了内窥镜下足底筋膜释放与运动和皮质类固醇注射，发现内窥镜下足底筋膜释放具有统计学上显著的优势。结论：本系统综述发现针刺治疗在减轻PF患者疼痛方面有很好的效果。在三项研究中，有一项研究的内窥镜下足底筋膜释放优于比较方法。高偏倚风险和方法异质性限制了现有证据的强度。临床证据水平：II。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.