Table 1.

Step-by-Step Guide to Performing Nanoscopic Plantar Fasciectomy

Step 1: Inject local anesthetic (if desired) over incision site, directly over medial aspect of plantar fascia insertion and proximal to border of glaborous tissue.

Step 2: Make 5-mm incision. Insert hemostat to dissect down to plantar fascia insertion.

Step 3: Introduce dilator to create portal space. Remove dilator and use synovial scraper to clear off any residual soft tissue on the underside of the insertion.

Step 4: With the needle scope advanced into the endoscopic plantar fascia resection system, insert device to visualize plantar fascia across insertion site.

Step 5: With the foot dorsiflexed, use the endoscopic blade to release the fascial band, starting at the lateral aspect and traveling medially. Ensure complete release and visualization of intrinsic musculature across insertion site.

Step 6: Irrigate the wound, close incision, and apply soft dressings as indicated.