Endoscopic Debridement of Chronic Plantar Fasciitis

NCT06535724 | Completed

• 1 other identifier: RSC_TPION_2024_V1
• Study Type: interventional
• Target: 18
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study was to prospectively evaluate the results of endoscopic treatment of chronic plantar fasciitis with resection of the heel spur. Treatment was assessed based on the results of clinical examinations and functional assessment as well as X-ray examination.

Conditions

Fasciitis, Plantar; Fasciitis, Plantar, Chronic; Heel Spur

Outcome Measures

Primary Outcomes (1)

• American Orthopedic Foot and Ankle Society (AOFAS) AnkleHindfoot Scale

  This comprehensive scale evaluates various aspects of foot health, including pain levels, functionality, and alignment, and is widely recognized for its reliability in orthopedic studies

  3 months - 60 months after the treatment

Study Arms (1)

Study group

EXPERIMENTAL

Patients underwent endoscopic debridement coupled with heel spur resection. This method emphasizes the removal of pathologically altered tissue while preserving the plantar aponeurosis, with the aim of minimizing procedural morbidity and enhancing recovery outcomes. It specifically targets the crucial roles of the plantar fascia in supporting the foot arch and facilitating foot propulsion. All had experienced persistent plantar fasciitis symptoms for at least six months despite conservative treatment.

Procedure: Chronic plantar fasciitis endoscopic debridement coupled with heel spur resection

Interventions

Chronic plantar fasciitis endoscopic debridement coupled with heel spur resection PROCEDURE

1. Preoperative Preparation: popliteal nerve block, patient positioning supine with the operated limb fully externally rotated, spinal anesthesia, tourniquet application. 2. Surgical Procedure: * Initial Marking from the heel bone arch to the calcaneal bone to locate the entry point. * First Incision and Portal Creation: an initial incision at the palpated site using a size 11 blade; blunt dissection to reveal the plantar fascia; arthroscope entry. * Secondary Entry: 3 cm distally from the initial incision; positioning of the arthroscope; additional blunt dissection and obturator insertion. * Operative Technique: continuous irrigation with sterile saline; 3.5-mm shaver introduced through the distal portal; meticulous debridement of inflamed and pathological tissue; removal of calcaneal spurs; thinning of the plantar fascia 3. Postoperative Care • Careful monitoring and guided rehabilitation to support optimal healing and recovery.

Study group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• symptoms of chronic plantar fasciitis that have persisted for at least 6 months. despite previous conservative treatment, including corticosteroid injections, autologous PRP injections, physiotherapy, use of orthoses and NSAIDs,
• age ≥ 18 years,
• written consent to participate in the study

You may not qualify if:

• previous foot surgery,
• advanced diabetes impeding healing,
• significant obesity,
• contraindications to anesthesia

Sponsors & Collaborators

• Rehasport Clinic: lead

MeSH Terms

Conditions

Fasciitis, Plantar; Heel Spur

Condition Hierarchy (Ancestors)

Fasciitis; Musculoskeletal Diseases; Foot Diseases; Exostoses; Hyperostosis; Bone Diseases

Study Officials

• Tomasz Piontek, MD PhD

  tomasz.piontek@rehasport.pl

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 23, 2024
• First Posted: August 2, 2024
• Study Start: January 1, 2013
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: August 2, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share