Helen Anwander, Florian Weichsel, Jennifer Cullmann, Angela Seidel, Annabel Hayoz, Fabian Krause
{"title":"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","authors":"Helen Anwander, Florian Weichsel, Jennifer Cullmann, Angela Seidel, Annabel Hayoz, Fabian Krause","doi":"10.1177/19386400211032099","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim was to assess the recurrence rate and clinical outcome after wide resection for plantar fibromatosis.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>In patients with symptomatic plantar fibromatosis, we recommend a wide resection or fasciectomy over a local resection because of the inferior recurrence rate.</p><p><strong>Levels of evidence: </strong>Level IV: Retrospective case series.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"109-116"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Recurrence Rate After Wide Resection of Plantar Fibromatosis: A Case Series and Systematic Literature Review.\",\"authors\":\"Helen Anwander, Florian Weichsel, Jennifer Cullmann, Angela Seidel, Annabel Hayoz, Fabian Krause\",\"doi\":\"10.1177/19386400211032099\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The aim was to assess the recurrence rate and clinical outcome after wide resection for plantar fibromatosis.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>In patients with symptomatic plantar fibromatosis, we recommend a wide resection or fasciectomy over a local resection because of the inferior recurrence rate.</p><p><strong>Levels of evidence: </strong>Level IV: Retrospective case series.</p>\",\"PeriodicalId\":73046,\"journal\":{\"name\":\"Foot & ankle specialist\",\"volume\":\" \",\"pages\":\"109-116\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & ankle specialist\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/19386400211032099\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/8/8 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & ankle specialist","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/19386400211032099","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/8/8 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Recurrence Rate After Wide Resection of Plantar Fibromatosis: A Case Series and Systematic Literature Review.
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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