Endoscopic Debridement, Ostectomy, Release, and Radiofrequency: A Fully Endoscopic Technique for Treating Recalcitrant Plantar Fasciitis.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 39780888.
- Also identified by DOI 10.1016/j.eats.2024.103150 and PMC identifier 11704965.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Plantar fasciitis (PF), a common cause of heel pain, primarily results from inflammation of the plantar fascia due to excessive strain. Its complex pathophysiology, influenced by various biomechanical factors, has led to the development of diverse surgical techniques. Most of these techniques, when used in isolation, have shown benefits in treating refractory PF. We propose the debridement, ostectomy, release, and radiofrequency procedure, a minimally invasive approach combining (1) debridement of the suprafascial plane, (2) ostectomy of the calcaneal spur, (3) partial release of the medial plantar fascia, and (4) direct radiofrequency microtenotomy of the plantar fascia. For patients with gastrocnemius muscle tightness, the procedure may also include a medial endoscopic gastrocnemius release. The described procedure addresses the multifaceted pathology of PF in a single intervention. This comprehensive approach aims to improve patient satisfaction and functional outcomes.