Ultrasound-Guided Plantar Fascia Release with Needle: A Novel Surgical Technique  

作　　者：A. Iborra M. J. Villanueva S. L. Barrett A. Iborra;M. J. Villanueva;S. L. Barrett(Institute Avanfi, Madrid, Spain;Innovative Neuropathy Treatment Institute, Glendale, AZ, USA)

机构地区：[1]Institute Avanfi, Madrid, Spain [2]Innovative Neuropathy Treatment Institute, Glendale, AZ, USA

出　　处：《Open Journal of Orthopedics》2016年第7期159-170,共12页矫形学期刊（英文）

摘　　要：The purpose of this study was to assess the effectiveness of a new procedure, ultrasound-guided partial plantar fasciotomy with needle for plantar fasciosis. Methods: This study was carried out on 16 patients, 9 men and 7 women, with average age 47.5, diagnosed with plantar fasciosis, who were treated through ultrasound-guided partial plantar fasciotomy using multiple perforations. Clinical assessments and ultrasounds of all patients were carried out before treatment, after a week, then after 1, 3 and 12 months. For the clinical assessment the Visual Analogue Scale (VAS) and the Foot and Ankle Disability Index (FADI) were used. Results: There was significant progress at 95% (Greenhouse-Geisser p < 0.001) of the VAS and the FADI during the study. We had no nerve or other complications: paraesthesia of the entry portal or vascular lesions. Conclusion: Ultrasound- guided partial plantar fasciotomy using multiple perforations is a safe technique, with very satisfactory preliminary results, reducing recovery times and time off work. The technique can be performed in the specialist’s consultation room with local anaesthesia, without the need for stitches and with very fast recovery, thus reducing costs. It can be performed on patients with underlying pathology such as diabetes mild to moderate, vascular insufficiency, heart disease or other comorbidities, so this technique could be an improvement on other open plantar fasciotomy surgical techniques.The purpose of this study was to assess the effectiveness of a new procedure, ultrasound-guided partial plantar fasciotomy with needle for plantar fasciosis. Methods: This study was carried out on 16 patients, 9 men and 7 women, with average age 47.5, diagnosed with plantar fasciosis, who were treated through ultrasound-guided partial plantar fasciotomy using multiple perforations. Clinical assessments and ultrasounds of all patients were carried out before treatment, after a week, then after 1, 3 and 12 months. For the clinical assessment the Visual Analogue Scale (VAS) and the Foot and Ankle Disability Index (FADI) were used. Results: There was significant progress at 95% (Greenhouse-Geisser p < 0.001) of the VAS and the FADI during the study. We had no nerve or other complications: paraesthesia of the entry portal or vascular lesions. Conclusion: Ultrasound- guided partial plantar fasciotomy using multiple perforations is a safe technique, with very satisfactory preliminary results, reducing recovery times and time off work. The technique can be performed in the specialist’s consultation room with local anaesthesia, without the need for stitches and with very fast recovery, thus reducing costs. It can be performed on patients with underlying pathology such as diabetes mild to moderate, vascular insufficiency, heart disease or other comorbidities, so this technique could be an improvement on other open plantar fasciotomy surgical techniques.

关 键 词：Fasciitis Plantar SONOGRAPHY Partial Plantar Fasciotomy ULTRASOUND-GUIDED 

分 类 号：R32[医药卫生—人体解剖和组织胚胎学]