Cirugía de la Fascitis Plantar Crónica con Síndrome de Túnel Tarsiano Distal

Authors

  • Cristian Ortiz M.
  • Emilio Wagner H.
  • Andres Keller D.
  • Ariel Valle J.

Keywords:

Chronic plantar Fascitis, lateral plantar nerve entrapment, distal tarsal tunnel sindrome, surgery

Abstract

Introduction: Most patients with plantar fasciitis respond well to nonsurgical treatment. ln the non-responding group, many have sig ns of entra pment of the first branch of the lateral plantar nerve, requiring specific surgery. Objective: Evaluate outcome of complete fasciotomy plus extensive nerve release in this group. Method: Prospective study of patients with diagnosis of plantar fasciitis and distal tarsal tunnel syndrome, refractory to at least 6 months of nonsurgical treatment. Operated between 1999 and 2005. We studied demographic and clinical features and complications. Follow up included Kenneth-Johnson and AOFAS scores, time to return to work and sports. Results: 28 patientes. 18 men. Average age 54.8 years (32-78), follow-up: 37 months (12-72).Symptoms period prior to surgery 10.38 months (6-36). AOFAS score improved from 60.83 (32-85) prior to surgery to 95.35 (90-100). Complete satisfaction (KJ) obtained in 23 patients (82.14%), rest satisfied with minor reserves. One patient had a complication (local).Mean time before returning to work: 3 months and 6 for sports. Mean relief time was 5.5 months. Conclusion: Patients with plantar fasciitis and signs of nerve entrapment refractory to nonsurgical treatment, benefit from this technique. Nevertheless, return to work and total symptoms relief took long.

Author Biographies

Cristian Ortiz M.

Clínica Alemana de Santiago, Hospital Padre Hurtado. Santiago. Chile.

Emilio Wagner H.

Clínica Alemana de Santiago, Hospital Padre Hurtado. Santiago. Chile.

Andres Keller D.

Clínica Alemana de Santiago, Hospital Padre Hurtado. Santiago. Chile.

Ariel Valle J.

Clínica Alemana de Santiago, Hospital Padre Hurtado. Santiago. Chile.

Published

2008-08-16

How to Cite

Ortiz M., C., Wagner H., E. ., Keller D., A., & Valle J., A. (2008). Cirugía de la Fascitis Plantar Crónica con Síndrome de Túnel Tarsiano Distal. Tobillo Y Pie, 1(1), 43–47. Retrieved from https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1256

Issue

Section

Original Articles