TABLE 1.
Summary of Results From Published Studies Investigating Surgery for Plantar Fasciitisa
Study (Year Published) | No. of Cases | Surgery | Follow-up | Patient Outcomes |
---|---|---|---|---|
Snider et al32 (1983) | 9 long-distance runners (11 cases) | Open | Average, 25 mo | Excellent in 10 feet and good in 1 foot at an average follow-up time of 25 mo |
Schepsis et al28 (1991) | 27 cases | Open—“complete plantar fascia release performed through a medial longitudinal incision” | Range, 1-3 y | 89% (24/27) were satisfied |
Davies et al9 (1999) | 41 patients (45 feet) | “Decompression of the nerve to abductor digiti minimi with partial plantar fascia release” | Mean, 31 mo (range, 11-66 mo) | 75% were mildly painful or better; mean reduction of VAS from 8.5 to 2.5; only 49% (20/41) were totally satisfied with the outcome |
Lundeen et al19 (2000) | 53 patients (69 feet) | EPFR | Average, 7.2 mo (range, 4-42 mo) | 81% satisfied |
Woelffer et al40 (2000) | 30 patients (33 feet) | Open—“plantar skin incision” | 5 y | 90% were satisfied |
Boyle and Slater5 (2003) | 17 patients (17 feet) | EPFR | 16 mo | 100% were satisfied, 82.4% had mild pain or less |
Jerosch et al15 (2004) | 17 patients | EPFR | Average, 18.5 mo (range, 4-48 mo) | 76% (13/ 17) “improved clinically,” 13 patients had good or excellent results with Ogilvie-Harris score |
Bazaz and Ferkel4 (2007) | 20 patients (23 feet) | EPFR | 1 y | Significant improvement in average AOFAS Ankle-Hindfoot Scale and Maryland Foot Score |
aAOFAS, American Orthopaedic Foot & Ankle Society; EPFR, endoscopic plantar fascia release; VAS, visual analog scale.