Endoscopic Plantar Fasciotomy with Gastrocnemius Recession for Chronic Plantar Fasciitis

Rajesh Simon, Julio C Kandathil, Dennis P Jose

Volume 3 | Issue 2 | May – Aug 2018 | Page 20-23

Author: Rajesh Simon [1], Julio C Kandathil [1], Dennis P Jose [1].

[1] Dept. of Orthopaedics, VPS Lakeshore Hospital & Research Centre, Nettoor P.O. , Kochi, Kerala,
India

Address of Correspondence
Dr. Rajesh Simon,
VPS Lakeshore Hospital and Research Centre,
Nettoor P.O. , Kochi, Kerala, India.
Email: rajeshsimon@gmail.com

Abstract

Background: Plantar fasciitis is one of the most common pathologies seen by foot and ankle surgeon. Treatment is mostly conservative. Further intervention of injections and shock wave therapies have given improvement to many patients. However, when all these therapy fails, surgical intervention is warranted. A thorough investigation is again done to confirm any other cause of pain. MRI usually reveals the thickened medial cord way beyond its normal size. Endoscopic plantar fascioctomy is done to release the thickened medial cord of the plantar fascia. Gastroc recession is added in case of tight gastrocnemius.
Materials and Methods: 11 foot (1M/8F) (2-B/L) treatedfor chronic Plantar fascioctomy with or without Gastroc recession were reviewed in this retrospective sturdy. The mean follow-up was 9 months(range 6 to 24 months). All patients underwent atleast 6 months of conservative management. They were further evaluated with proper evaluation and pre op MRI to confirm the thickness of the plantar fascia pre operatively. All patients were operated with endoscopic plantar fascioctomy with or without gastroc recession depending on the tightness of the gastrocnemius.
Results: At the follow up improvement was noted in all the patients compared to their pre op status. All patients returned to their pre op activity. No major complication was seen.
Conclusion: Endoscopic Plantar fascioctomy with added gastroc recession is a safe and effective procedure for the treatment of chronic plantar fasciitis that gives good relief of symptoms and allow a successful return to normal activity levels
Keywords: Chronic Plantar fasciitis, Endoscopic plantar fasciotomy, Heel pain, Gastrocnemius Recession.

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Endoscopic Plantar Fasciotomy with Gastrocnemius Recession for Chronic Plantar Fasciitis