Foot最新文献

{"title":"Lateralising step-DMMO (MIS) – a midshaft modification of the lateralising DMMO for a powerful correction of a pes adductus during surgical treatment of a hallux valgus","authors":"Pawel Chomej ,&nbsp;Kajetan Klos","doi":"10.1016/j.foot.2026.102224","DOIUrl":"10.1016/j.foot.2026.102224","url":null,"abstract":"<div><div>Surgical treatment of hallux valgus can be very difficult when it occurs together with pes adductus. The medially displaced metatarsal bones prevent a sufficient shifting of the first metatarsal during hallux valgus correction. This can lead to inherently high reoccurrence rates. Open surgical corrections lead to a profound soft tissue trauma and prolonged swelling, while requiring relief from weight-bearing in the affected foot. In this paper, we aim to introduce a useful midshaft modification of the lateralising Distal Metatarsal Minimal-invasive Osteotomy (lat. DMMO) to perform an effective correction of a metatarsus adductus during hallux valgus surgery. 35 patients with a hallux valgus and simultaneous pes adductus deformity who were treated with MICA and a lateralising step-DMMO were followed-up. The radiological and clinical outcomes after a follow-up period of 24 months confirmed a sustained and effective correction of the pes adductus with a well-aligned hallux. We observed no relevant complications and a high level of patient satisfaction. An immediate pain-adapted, post-operative weight-bearing was possible.</div></div><div><h3>Level of Clinical Evidence</h3><div>3</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102224"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of plantar fascia thickness and different variables in individuals without heel pain","authors":"Anna Lagergaard Larsen ,&nbsp;Pia Skouby Larsen ,&nbsp;Mie Engberg Nyvad ,&nbsp;Sara Matilde Vassard ,&nbsp;Ida Laurberg Andersen ,&nbsp;Henrik Riel","doi":"10.1016/j.foot.2025.102223","DOIUrl":"10.1016/j.foot.2025.102223","url":null,"abstract":"<div><h3>Background</h3><div>Plantar fasciopathy is a common condition described as a combination of degeneration and inflammation of the collagenous tissue. The diagnosis is typically based on medical history, local findings, and ultrasound to assess the thickness of the fascia, where a plantar fascia thickness of 4 mm or more confirms the diagnosis. However, other factors besides plantar fasciopathy may be associated with the thickness of the plantar fascia. This study aims to investigate which characteristics, including foot length, physical activity level, and primary physical activity, are associated with the thickness of the plantar fascia in individuals without a history of heel pain.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study and used multiple linear regression to investigate the association between the thickness of the fascia examined with diagnostic ultrasound and the characteristics of the participants. The included characteristics were foot length, physical activity level, primary physical activity, body weight, height, BMI, age, and sex.</div></div><div><h3>Results</h3><div>201 participants were included in the study. Age and height were associated with plantar fascia thickness. With a one-year increase in age, the plantar fascia increases by 0.008 mm (P &lt; 0.001), and for every cm increase in height, the thickness of the plantar fascia increases 0.011 mm (P = 0.003).</div></div><div><h3>Conclusion</h3><div>Age and height were significantly associated with plantar fascia thickness, but had small coefficients. Foot length, physical activity level, and primary physical activity were not associated with plantar fascia thickness. Level III of evidence, cross-sectional study.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102223"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology, pathophysiology, and management of diabetic foot: A comprehensive review","authors":"Tirumala Reddy Pavithra,&nbsp;Rajaganapathy Kaliyaperumal","doi":"10.1016/j.foot.2026.102225","DOIUrl":"10.1016/j.foot.2026.102225","url":null,"abstract":"<div><h3>Background</h3><div>Diabetic foot ulcers (DFUs) represent one of the most debilitating and costly complications of diabetes mellitus, leading to substantial morbidity, mortality, and healthcare burden. Their global incidence continues to rise in parallel with the increasing prevalence of diabetes and aging populations.</div></div><div><h3>Objective</h3><div>To critically review the epidemiology, pathophysiological pathways, and contemporary management strategies of diabetic foot, with emphasis on translational advances and emerging therapeutic directions.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted utilising the PubMed, Scopus, and Web of Science databases for publications from 2015 to 2025 employing the terms ‘diabetic foot ulcer,’ ‘management,’ ‘therapy,’ ‘regeneration,’ and ‘emerging treatment.’ Only studies published in English that concentrate on clinical or translational advancements in diabetic foot care were included. Reviews, case reports, and irrelevant articles were omitted. Following the evaluation of 286 records, 132 studies were selected for synthesis.</div></div><div><h3>Results</h3><div>Chronic hyperglycemia drives neuropathy, vasculopathy, and persistent inflammation, impairing the normal wound healing cascade. Standard management—including glycemic control, debridement, infection management, pressure offloading, and advanced dressings—remains essential. However, novel therapies such as bioengineered skin scaffolds, recombinant growth factors, stem cell applications, nanotechnology-based delivery systems, and negative-pressure wound therapy are transforming the field. Despite technological promise, widespread implementation remains challenged by regulatory and economic constraints.</div></div><div><h3>Conclusion</h3><div>The future of diabetic foot care lies in multidisciplinary, precision-based paradigms integrating smart biomaterials, gene therapy, artificial intelligence, and telemedicine. These convergent technologies hold the potential to revolutionize wound healing outcomes and reduce the global burden of diabetic complications.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102225"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of a one-stop multidisciplinary care service on diabetic foot ulcer healing: A retrospective cohort study","authors":"Kulika Sirisubjanan ,&nbsp;Nantawan Koonalinthip ,&nbsp;Araya Jaroenarpornwatana ,&nbsp;Siriporn Janchai","doi":"10.1016/j.foot.2026.102231","DOIUrl":"10.1016/j.foot.2026.102231","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary team care is the standard of care for diabetic foot ulcer (DFU) management, yet traditional models often involve sequential consultations that may delay treatment initiation.</div></div><div><h3>Objectives</h3><div>To evaluate whether a one-stop multidisciplinary clinic improves DFU healing outcomes compared with traditional sequential-consultation care.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included patients with new-onset DFUs between April 2016 and March 2024. A historical control group (April 2016-March 2020) was compared to an intervention group treated at a one-stop integrated clinic (April 2020-March 2024). The primary outcome was time to complete healing. Secondary outcomes included major lower extremity amputation, and mortality rates. Kaplan-Meier survival analysis and Cox proportional hazards regression models were employed.</div></div><div><h3>Results</h3><div>Among 237 patients (former clinic, <em>n</em> = 118; integrated clinic, <em>n</em> = 119), the integrated clinic group achieved an overall healing rate of 82%, compared to 71% in the traditional group (<em>p</em> = 0.103). After adjusting baseline characteristics, the integrated clinic was independently associated with faster healing (adjusted hazard ratio = 1.41; 95% CI: 1.04–1.90; <em>p</em> = 0.027). Major amputation and mortality rates remained comparably low across both groups.</div></div><div><h3>Conclusions</h3><div>The one-stop multidisciplinary team model significantly improved healing outcomes by providing coordinated, same-day care, effectively overcoming the limitations of sequential referral pathways.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102231"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The foot: Building on our foundations and shaping what comes next","authors":"Nachiappan Chockalingam ,&nbsp;Timothy M Clough","doi":"10.1016/j.foot.2026.102236","DOIUrl":"10.1016/j.foot.2026.102236","url":null,"abstract":"","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102236"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic calcaneoplasty with adjunctive Topaz radiofrequency microtenotomy for Haglund’s deformity: A comparative study","authors":"Samuel Sing Li Ong,&nbsp;Raj Kumar Socklingam,&nbsp;Ing How Moo,&nbsp;Charles Kam King Kon","doi":"10.1016/j.foot.2026.102228","DOIUrl":"10.1016/j.foot.2026.102228","url":null,"abstract":"<div><h3>Aims</h3><div>Haglund’s deformity is a common cause of posterior heel pain which can be treated by endoscopic calcaneoplasty. Adjunctive biologic modalities such as Topaz radiofrequency microtenotomy have been proposed to target intrinsic tendon pathology. This study aims to evaluate the functional outcomes of endoscopic calcaneoplasty for Haglund’s deformity, with or without adjunctive Topaz. We hypothesised that adding Topaz will improve outcomes by addressing the concomitant pathologies of the Haglund’s triad.</div></div><div><h3>Methods</h3><div>This retrospective superiority study was conducted between July 2020 and October 2024 in Singapore. Patients with Haglund’s deformity were randomly assigned to undergo endoscopic calcaneoplasty with or without adjunctive Topaz. Outcomes were measured using Visual Analogue Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and Foot Function Index (FFI) score pre-operatively and post-operatively at their final follow-up.</div></div><div><h3>Results</h3><div>63 cases (64 feet in 56 patients) were included. 44 cases underwent endoscopic calcaneoplasty only while 19 cases received additional Topaz therapy. In the calcaneoplasty-only group: VAS improved from 7.7 ± 1.8–0.7 ± 1.5, AOFAS from 57.3 ± 13.9–94.4 ± 9.1, and FFI from 55.5 ± 23.5–7.7 ± 14.8. In the combined group: VAS improved from 8.4 ± 1.2–1.4 ± 2.0, AOFAS from 54.2 ± 12.3–92.3 ± 10.6, FFI from 55.3 ± 23.4–12.2 ± 19.1. No significant differences were observed between the groups pre-operatively and post-operatively at their final follow-up (mean duration 33.7 months).</div></div><div><h3>Conclusion</h3><div>Endoscopic calcaneoplasty effectively relieves pain and restores function in Haglund’s deformity. However, the addition of adjunctive Topaz did not confer any additional benefits in the long term at a mean follow-up duration of 33.7 months.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102228"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audit protocol for evaluating diversity in sport performance footwear research: Assessing footwear design, participant representation, and author demographics in published studies","authors":"Kathryn Mills ,&nbsp;Karen Julie Mickle ,&nbsp;Sharon Dixon ,&nbsp;Thorsten Sterzing ,&nbsp;Yannick Denis ,&nbsp;FengQin Fu ,&nbsp;Emre Ilhan ,&nbsp;Nachiappan Chockalingam","doi":"10.1016/j.foot.2025.102213","DOIUrl":"10.1016/j.foot.2025.102213","url":null,"abstract":"<div><div>Equity, diversity and inclusiveness have been identified as areas for improvement across sports and biomechanics research. To identify and prioritise areas for improvement, it is important to understand the current ‘state of play’. This protocol outlines an audit process designed to (1) characterise and compare demographic data of both participants and researchers in published performance shoe research and (2) profile considerations of equity, diversity and inclusiveness in performance shoe design. A comprehensive multi-language, search strategy will be conducted across 4 primarily English and 1 Chinese data base. Sport specific journals published in Chinese, Japanese, Korean, French, Spanish and Portuguese will be hand-searched. All studies, published since 2015, investigating the design or testing of a shoe, insert or orthotic required or facilitating for sports performance will be considered for inclusion. For the purposes of this audit, sports will be limited to those recognised by the International Olympic Committee Summer Olympic International Federations. Footwear company websites will be searched for details on specific performance footwear. Studies will be grouped based on the sports the shoe is designed for. Participants’ gender and/or sex, race and ethnicity will be directly extracted from included studies or by contacting the authors. Researchers’ gender and/or sex, position within the authorship group and location where the study was conducted will be extracted from included studies or obtained through university profiles, professional pages or by directly contacting authors. Differences in demographic data will be compared between shoe type and representativeness of participants, researchers and footwear will be calculated using participation to prevalence ratios. The proposed protocol represents a committed step towards improving equity, diversity and inclusiveness throughout footwear science.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102213"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145621612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifetime cost-effectiveness of first metatarsophalangeal joint fusion using patient reported outcomes from National Foot and Ankle Registry data in the UK","authors":"Craig Wyatt ,&nbsp;Karan Malhotra ,&nbsp;Joel Humphrey ,&nbsp;Robert Clayton ,&nbsp;David Townshend ,&nbsp;Nilesh Makwana ,&nbsp;Edward Wood ,&nbsp;Lyndon Mason","doi":"10.1016/j.foot.2025.102214","DOIUrl":"10.1016/j.foot.2025.102214","url":null,"abstract":"<div><h3>Background</h3><div>Hallux rigidus is a common and debilitating condition that increasingly impacts UK healthcare resources. First metatarsophalangeal joint (MTPJ) fusion is a widely performed intervention with excellent clinical outcomes; however, its commissioning has faced restrictions in some regions in the UK due to perceived limited value. Robust national cost-effectiveness evidence is needed to guide policy and ensure equitable access to care.</div></div><div><h3>Methods</h3><div>A cost–utility analysis was conducted using British Orthopaedic Foot &amp; Ankle Society (BOFAS) Registry data for patients undergoing primary 1st MTPJ fusion. EuroQol-5 Dimension (EQ-5D-5L) outcomes at baseline and 1 year were utilised to estimate quality-adjusted life year (QALY) gains. A lifetime Markov model over 20 years simulated costs, utilities, and complication pathways from the UK NHS perspective. Costs were derived from national tariffs and discounted at 3.5 % per annum. Incremental cost-effectiveness ratios (ICERs) were calculated relative to conservative management, and deterministic sensitivity analysis tested uncertainty across cost and utility assumptions.</div></div><div><h3>Results</h3><div>Out of 1199 patients, 202 had completed full PROM datasets for cost-utility modelling. EQ-5D-5L improved from 0.53 pre-operatively to 0.77 at one year (p &lt; 0.001), exceeding the MCID by six months and sustained thereafter. The base-case model demonstrated a discounted lifetime QALY gain of 3.331 and cost of £ 4698.15, yielding an ICER of £ 1410.58 per QALY gained. Across all sensitivity scenarios, including increased costs, reduced utility gains, and shortened duration of benefit, the ICER remained well below accepted NICE thresholds (£20,000–£30,000/QALY). In the low-cost scenario, 1st MTPJ fusion became cost-saving (negative ICER) by year 18.</div></div><div><h3>Conclusion</h3><div>1st MTPJ fusion is a highly cost-effective intervention for hallux rigidus, delivering clinically significant and durable improvements in quality of life at very low cost per QALY gained. This procedure provides greater value for money than many widely commissioned major orthopaedic operations, including hip and knee arthroplasty. Current NHS restrictions on access are not supported by health-economic evidence. These findings reinforce the essential role of 1st MTPJ fusion in value-based foot and ankle surgical care.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102214"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flatfoot kinematics and coordination during bilateral heel rises: Effects of knee angle variation","authors":"Yota Abe ,&nbsp;Aimi Tayama ,&nbsp;Tomoki Iizuka ,&nbsp;Yosuke Tomita","doi":"10.1016/j.foot.2025.102222","DOIUrl":"10.1016/j.foot.2025.102222","url":null,"abstract":"<div><div>Flatfoot alignment alters foot biomechanics and lower limb coordination; however, its impact on dynamic performance during bilateral heel rises under varying knee conditions remains unclear. This study compared heel-rise kinematics and intersegmental coordination in 12 flatfoot and 12 normal-foot participants performing ten bilateral heel rises at 60 BPM under randomized knee extended and knee flexed conditions. The three-dimensional kinematics were recorded using a 12-camera Vicon system. The ascending and descending phases were divided into the early, middle, and late periods. The maximum normalized heel height, vertical and anterior center-of-mass displacement, anterior knee translation, pelvic and foot kinematics, and shank–hindfoot coordination via modified vector coding were analyzed. Under knee extension, the flatfoot group showed greater vertical center-of-mass displacement (p = 0.044). With knee flexion, anterior knee translation was larger in subjects with flatfoot (p = 0.022), who also exhibited greater hallux extension during the middle to late periods (p &lt; 0.05). In the early ascending period with knee flexion, normal-foot participants displayed more proximal-dominant in-phase shank–hindfoot coupling (47.5 % vs. 23.3 %, p = 0.032), whereas flatfoot participants showed increased distal-dominant in-phase coupling (34.1 % vs. 12.4 %, p = 0.013). Individuals with flatfoot adopt compensatory forward knee translation and enhanced hallux/hindfoot motion, especially under knee flexion, reflecting reduced foot stiffness and altered coordination. Incorporating knee-flexed assessments and coordination metrics into clinical heel-rise testing may improve the detection of foot stiffness deficits and guide personalized rehabilitation.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102222"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of TOPAZ coblation-assisted percutaneous fasciotomy in chronic plantar fasciitis","authors":"Kiran Kumar Vedavyasa Acharya,&nbsp;Anurag Kundapur,&nbsp;Sachin Kumar","doi":"10.1016/j.foot.2025.102212","DOIUrl":"10.1016/j.foot.2025.102212","url":null,"abstract":"<div><h3>Background</h3><div>Plantar fasciitis is one of the most common causes of chronic heel pain, accounting for up to 10 % of running-related injuries and significantly impacting the quality of life in both active and sedentary populations. While the majority of patients respond to conservative measures such as stretching, physiotherapy, orthoses, steroid injections, and extracorporeal shockwave therapy, approximately 5–10 % remain symptomatic despite prolonged non-operative treatment. Surgical intervention is considered in these refractory cases, with both open and endoscopic plantar fasciotomy traditionally employed. However, these approaches are associated with potential drawbacks, including wound complications, prolonged recovery, and altered foot biomechanics. In recent years, minimally invasive alternatives have been investigated to minimize morbidity while providing effective pain relief. The study was conducted to evaluate the clinical outcomes of percutaneous plantar fasciotomy using the microdebrider TOPAZ coblation wand in patients with recalcitrant plantar fasciitis.</div></div><div><h3>Methods</h3><div>A hospital-based, retrospective observational follow-up study in patients with a primary clinical diagnosis of recalcitrant PF, supported radiologically and underwent percutaneous plantar fasciotomy using a microdebrider TOPAZ coblation wand and had a minimum follow-up of 1 year. Outcome was evaluated using the Foot and Ankle Ability Measure (FAAM) Score, Numerical Rating Scale (NRS)</div></div><div><h3>Results</h3><div>Of the 18 patients included, 16 (88.9 %) were females. Thirteen (72.1 %) were aged 30–50 years. None had anatomical deformity. There was a significant reduction in pain levels from pre-operative NRS scores (mean 7.56) to NRS scores at 1 year (mean 2.83) (p &lt; 0.001).</div><div>Functional ability improved notably from a pre-operative FAAM score (mean 59.94) to a 1-year FAAM score (mean 91.33) (p &lt; 0.001)</div></div><div><h3>Conclusion</h3><div>Radiofrequency coblation using TOPAZ microdebrider wand is an effective intervention for chronic recalcitrant PF.</div></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"66 ","pages":"Article 102212"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}