Recurrence Rate After Wide Resection of Plantar Fibromatosis: A Case Series and Systematic Literature Review.

Foot & ankle specialist Pub Date : 2024-04-01 Epub Date: 2021-08-08 DOI:10.1177/19386400211032099

Helen Anwander, Florian Weichsel, Jennifer Cullmann, Angela Seidel, Annabel Hayoz, Fabian Krause

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Abstract

Background: The aim was to assess the recurrence rate and clinical outcome after wide resection for plantar fibromatosis.

Methods: A total of 12 patients, 2 to 13 years after wide resection, were assessed for local and magnetic resonance imaging tomographic signs of recurrence at the clinical follow-up. In addition, a systematic review of the literature was conducted.

Results: After 7.8 years (2-13), 2 patients (17%) suffered a recurrence. At the last follow-up, median Foot Functional Index was 1 (0-66) and American Orthopaedic Foot and Ankle Society score was 95 (44-100). Six studies with 109 feet (92 patients) were included in the systematic review. The recurrence rate depends on the width of the resection: 67% after local resection, 42% after wide resection, and 27% after fasciectomy.

Conclusion: In patients with symptomatic plantar fibromatosis, we recommend a wide resection or fasciectomy over a local resection because of the inferior recurrence rate.

Levels of evidence: Level IV: Retrospective case series.

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足底纤维瘤病广泛切除术后的复发率：病例系列和系统性文献综述

背景：目的是评估足底纤维瘤广泛切除术后的复发率和临床疗效：目的：评估足底纤维瘤病广泛切除术后的复发率和临床疗效：方法：在临床随访中评估了12名患者在广泛切除术后2至13年的局部复发和磁共振成像断层扫描征象。此外，还对文献进行了系统性回顾：结果：7.8 年（2-13 年）后，2 名患者（17%）复发。最后一次随访时，足部功能指数中位数为 1（0-66），美国骨科足踝协会评分为 95（44-100）。六项研究共涉及 109 只脚（92 名患者），被纳入系统性综述。复发率取决于切除的宽度：局部切除术后复发率为67%，广泛切除术后复发率为42%，筋膜切除术后复发率为27%：结论：对于有症状的足底纤维瘤病患者，我们建议采用广泛切除术或筋膜切除术，而不是局部切除术，因为复发率较低：IV级：回顾性病例系列

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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Foot & ankle specialist

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