Abstract
Introduction
Although the majority of patients with plantar fasciitis respond to non- surgical management, between 5 and 10% of patients require surgical intervention. The aim of this study is to compare the results of open plantar fascia release with the results following a less invasive endoscopic release.
Methods
A consecutive series of patients who underwent open plantar fascia release (group one) was compared to a similar group who underwent endoscopic plantar fascia release (group two). Each patient was assessed retrospectively using the American Orthopaedic Foot and Ankle Society (AOFAS) Midfoot Score. In addition, the patient's overall satisfaction with the procedure, time taken to return to full activity, and the complication rate was determined. Finally, pre- and post-operative radiographs were assessed for arch collapse in group two.
Results
The demographics of the two groups were comparable. Group one contained 36 patients (38 ft) and group two contained 66 patients (70 ft). The mean follow up for both groups was 22 months. The mean AOFAS score for each group was comparable pre-operatively, however the post-operative score was significantly better for group two. The time taken to return to full activities was significantly quicker in the endoscopic group, and post-operative pain levels and satisfaction rates were also significantly better. Radiographs demonstrated no arch collapse in group two following the procedure.
Conclusions
When surgery for plantar fasciitis is indicated, the results of this study have demonstrated an endoscopic approach offers a safe alternative to an open procedure. Furthermore, endoscopic release is associated with an accelerate activities and a higher patient satisfaction rate.
