Abstract
Objective: This study sought to evaluate the effectiveness of a surgery (plantar fasciotomy) to treat plantar fasciitis using the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire. Methods: Patients were retrospectively identified using their postoperative orthopedic (medical) records after receiving medial plantar fasciotomy for plantar fasciitis between 1997 and 2009. Results: A significant difference was observed between the pre- and postoperative AOFAS score; this result indicates that patient health improved after the fasciotomy to treat plantar fasciitis. Conclusions: A strength of this study was its long follow-up time of patients undergoing plantar fasciotomy to treat plantar fasciitis. This surgery is indicated for patients with chronic plantar fasciitis after 6 months without response to conservative treatment. Level of Evidence IV; Therapeutic Studies; Case Series.
Highlights
Objective: This study sought to evaluate the effectiveness of a surgery to treat plantar fasciitis using the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire
A significant difference was observed between the pre- and postoperative AOFAS score; this result indicates that patient health improved after the fasciotomy to treat plantar fasciitis
A strength of this study was its long follow-up time of patients undergoing plantar fasciotomy to treat plantar fasciitis. This surgery is indicated for patients with chronic plantar fasciitis after 6 months without response to conservative treatment
Summary
Rodrigo Guimarães Huyer, Cíntia Kelly Bittar, Carlos Daniel Cândido de Castro Filho, Carlos Augusto de Mattos, Mário Sérgio Paulillo de Cillo, João Henrique Tavares Ribeiro. 1. Pontifícia Universidade Católica de Campinas, Campinas, SP, Brasil. 2. Instituto Wilson Mello, Campinas, SP, Brasil. RESUMO Objetivo: Avaliar a efetividade do tratamento cirúrgico (fasciotomia plantar) para fasciíte plantar por meio do questionário AOFAS. Métodos: Pacientes foram identificados retrospectivamente nos arquivos ortopédicos (prontuários) pós-operatórios de fasciotomia plantar medial para fasciíte plantar entre os anos de 1997 e 2009. Resultados: Houve diferença estatisticamente significativa entre os valores do escore AOFAS pré e pós-operatório e esse resultado reflete que os pacientes obtiveram um melhor estado de saúde após a realização da fasciotomia para tratamento da fasciíte plantar. O procedimento cirúrgico está bem indicado nos pacientes crônicos com fasciíte plantar após seis meses sem resposta ao tratamento conservador Nível de Evidência IV; Estudos Terapêuticos; Série de Casos.
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