Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis

Abstract Background Heel pain is one of the most common complaints in foot and ankle clinic, and one of the leading causes of heel pain is plantar fasciitis. Methods A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 case...

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Main Authors: Yusong Yuan, Yuan Qian, Hao Lu, Yuhui Kou, Yangbo Xu, Hailin Xu
Format: Article
Language:English
Published: BMC 2020-02-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13018-020-1582-2
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author Yusong Yuan
Yuan Qian
Hao Lu
Yuhui Kou
Yangbo Xu
Hailin Xu
author_facet Yusong Yuan
Yuan Qian
Hao Lu
Yuhui Kou
Yangbo Xu
Hailin Xu
author_sort Yusong Yuan
collection DOAJ
description Abstract Background Heel pain is one of the most common complaints in foot and ankle clinic, and one of the leading causes of heel pain is plantar fasciitis. Methods A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analog scale (VAS) and American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AH) before and after surgery in all patients. Results All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient’s demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer than that in the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no differences of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion The symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time. Trial registration Retrospectively registered.
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spelling doaj.art-4be44432b7ec467292ed0776abf081532022-12-22T02:59:02ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-02-011511810.1186/s13018-020-1582-2Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitisYusong Yuan0Yuan Qian1Hao Lu2Yuhui Kou3Yangbo Xu4Hailin Xu5Department of Trauma and Orthopedics, Peking University People’s Hospital, Peking UniversityDepartment of Trauma Surgery, The Affiliated Hospital of Qingdao UniversityDepartment of Trauma and Orthopedics, Peking University People’s Hospital, Peking UniversityDepartment of Trauma and Orthopedics, Peking University People’s Hospital, Peking UniversityDepartment of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical UniversityDepartment of Trauma and Orthopedics, Peking University People’s Hospital, Peking UniversityAbstract Background Heel pain is one of the most common complaints in foot and ankle clinic, and one of the leading causes of heel pain is plantar fasciitis. Methods A retrospective analysis was carried out in 31 cases (39 feet) of patients with intractable plantar fasciitis. In the enrolled 26 cases, 16 patients (19 feet) received open plantar fascia release, and the other 15 patients (20 feet) received percutaneous radiofrequency ablation. The surgical results were assessed by visual analog scale (VAS) and American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AH) before and after surgery in all patients. Results All 31 patients were followed up successfully, with a mean follow-up time of 58.77 months. There were no differences of patient’s demographics and characteristics information between the two groups. The average operative time of the feet in the open plantar fascia release is longer than that in the percutaneous radiofrequency ablation. Furthermore, the percutaneous radiofrequency ablation group had a shorter recovery time to normal activity than the open plantar fascia release group. There were no differences of postoperative VAS scores and the AOFAS-AH scores between the two groups. All patients reported satisfaction after either operation. Conclusion The symptoms of pain and limb function were significantly improved in patients both of the partial plantar fascia release treated group and the percutaneous radiofrequency ablation treated group. The two types of surgical procedures shared the same long-term curative effects. However, percutaneous radiofrequency ablation was a better technique from the point of shorter operative time and postoperative recovery time. Trial registration Retrospectively registered.http://link.springer.com/article/10.1186/s13018-020-1582-2Intractable plantar fasciitisOpen plantar fascia releasePercutaneous radiofrequency ablation
spellingShingle Yusong Yuan
Yuan Qian
Hao Lu
Yuhui Kou
Yangbo Xu
Hailin Xu
Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
Journal of Orthopaedic Surgery and Research
Intractable plantar fasciitis
Open plantar fascia release
Percutaneous radiofrequency ablation
title Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
title_full Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
title_fullStr Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
title_full_unstemmed Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
title_short Comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
title_sort comparison of the therapeutic outcomes between open plantar fascia release and percutaneous radiofrequency ablation in the treatment of intractable plantar fasciitis
topic Intractable plantar fasciitis
Open plantar fascia release
Percutaneous radiofrequency ablation
url http://link.springer.com/article/10.1186/s13018-020-1582-2
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