Endoscopic Plantar Fascia Release Combined With Calcaneal Spur Resection: A Case Series of 40 Patients.

Foot & ankle specialist Pub Date : 2025-02-01 Epub Date: 2022-09-05 DOI:10.1177/19386400221122761

Kenichiro Nakajima

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Abstract

Purpose: To review the cases of patients treated using endoscopic plantar fascia release (PFR) with calcaneal spur resection (CSR) and examine why the combined procedures cause complications.

Methods: The medical records of patients treated with endoscopic PFR with CSR from November 2017 to December 2019 with a follow-up of >2 years were reviewed.

Results: A total of 40 feet in 40 patients (22 females, 18 males) were enrolled. The mean age and body mass index were 51.1 years and 24.7 kg/m², respectively. The mean follow-up duration was 5.7 years. The visual analog scale for pain improved from 80.7 to 8.8 mm, and the Japanese Society for Surgery of the Foot score improved from 44.7 to 95.6 points (Wilcoxon signed rank test, P < .001 for both). Complications occurred in 8 patients (20%): 3 had flatfoot, 3 had an injury to the first branch of the lateral plantar nerve, 1 had scar pain, and 1 had a wound infection.

Conclusion: The 40 patients treated with endoscopic PFR with CSR for plantar fasciitis had good outcomes with a high complication rate; the invasiveness of creating the working space for the combined procedures was thought to be responsible.

Levels of evidence: Level IV: Case series.

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内窥镜足底筋膜松解术联合腓骨骨刺切除术：40 例患者的病例系列。

目的：回顾内镜下足底筋膜松解术（PFR）联合小骨刺切除术（CSR）治疗患者的病例，研究联合手术引起并发症的原因：回顾性分析2017年11月至2019年12月期间接受内窥镜足底筋膜松解术（PFR）联合小关节骨刺切除术（CSR）治疗的患者的病历，随访时间大于2年：共纳入40名患者的40只脚（22名女性，18名男性）。平均年龄和体重指数分别为 51.1 岁和 24.7 kg/m2。平均随访时间为 5.7 年。疼痛视觉模拟量表从 80.7 毫米改善到 8.8 毫米，日本足外科协会评分从 44.7 分改善到 95.6 分（Wilcoxon 符号秩检验，P < .001）。8名患者（20%）出现并发症：3例为扁平足，3例为足外侧神经第一支损伤，1例为疤痕疼痛，1例为伤口感染：结论：采用内窥镜PFR联合CSR治疗足底筋膜炎的40例患者疗效良好，但并发症发生率较高；为联合手术创造工作空间的侵入性被认为是原因之一：IV级：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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