Calcaneal Osteotomy for Recalcitrant Planter Fasciosis

NCT07436923 | Not Yet Recruiting

• 1 other identifier: osteotomy in planter fasciosis
• Study Type: interventional
• Target: 11
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to assess the efficacy of planter displacement calcaneal osteotomy for intractable plantar fasciosis by decreasing the tension of the plantar fascia around the calcaneal attachment while keeping the plantar fascia intact.

Conditions

Plantar Fascitis

Keywords

interactable planter fasciitis; recalcitrant planter fasciosis; heel spur; anteromedial heel pain

Outcome Measures

Primary Outcomes (1)

• AOFAS score

  the change in the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale (AOFAS score) score of 100 points. Higher score means better function with less pain and good alignment

  6 months after surgery

Secondary Outcomes (2)

• VAS

  12 months

• Foot pressure

  12 months

Study Arms (1)

Calcaneal osteotomy

EXPERIMENTAL

Calcaneal osteotomy skin incision will be oblique and directed from the infero-posterior edge of the lateral malleolus to the inferior edge of the calcaneal body, and you should be careful not to cause injury to the sural nerve. Osteotomy of the exposed lateral wall will be performed from 1 cm anterior to the calcaneal attachment of the plantar fascia to 1 cm anterior to the calcaneal attachment of the Achilles tendon. After the osteotomy, approximately 5 mm plantar displacement of the proximal fragment, which include attachment of the plantar fascia, will be performed. Patients with a pronated foot before surgery will have an additional approximately 5 mm medial displacement of the proximal fragment simultaneously to correct malalignment. Fixation after the osteotomy will be performed under an image intensifier using one or two cannulated cancellous screws 7.3 mm in diameter, which will be inserted from the infero-medial of the calcaneal tuberosity to the distal fragment.

Procedure: Calcaneal osteotomy for recalcitrant planter fasciosis

Interventions

Calcaneal osteotomy for recalcitrant planter fasciosis PROCEDURE

planter displacement calcaneal osteotomy

Calcaneal osteotomy

Eligibility Criteria

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

You may qualify if:

• All adult patients with age range from 18 to 65 years with unilateral or bilateral planter fasciosis after clinical and radiological diagnosis confirmation, who failed conservative treatment for at least 6 months or recurrent cases.
• MRI \& US proof of planter fasciosis showing thickness of planter fascia \>4mm

You may not qualify if:

• All other causes of heel pain including polyneuropathy, planter fascia rupture, seronegative arthropathies, rheumatoid arthritis in bilateral cases, abscess or neoplasm affecting the soft tissue, and bone occult fracture or infection.
• Age groups below 18 years old and above 65 years old.
• Plantar fasciosis cases having pes planus with diffuse foot pain not only localized to the planter fascia origin (the medial tubercle of the calcaneus - a bony prominence on the inferomedial aspect of the calcaneus).
• Diabetic patients
• Primary tarsal tunnel syndrome (not presented secondary to a deformity or another cause)

Sponsors & Collaborators

• Assiut University: lead

Related Publications (7)

• Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med. 2004 May 20;350(21):2159-66. doi: 10.1056/NEJMcp032745. No abstract available.

  PMID: 15152061 BACKGROUND

• Goff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Physician. 2011 Sep 15;84(6):676-82.

  PMID: 21916393 BACKGROUND

• Rodriguez-Sanz J, Roche-Seruendo LE, Lopez-de-Celis C, Canet-Vintro M, Ordoyo-Martin J, Fernandez-Gibello A, Labata-Lezaun N, Perez-Bellmunt A. Effects of Plantar Fascia Release and the Use of Foot Orthoses Affect Biomechanics of the Medial Longitudinal Arch of the Foot: A Cadaveric Study. Am J Phys Med Rehabil. 2024 Jul 1;103(7):595-602. doi: 10.1097/PHM.0000000000002414. Epub 2024 Jan 12.

  PMID: 38261788 BACKGROUND

• Liew SK, Saw A, Chua YP. Foot Arch Changes after Endoscopic Plantar Fascia Release for Recalcitrant Plantar Fasciitis. Malays Orthop J. 2022 Jul;16(2):78-86. doi: 10.5704/MOJ.2207.010.

  PMID: 35992989 BACKGROUND

• Baxter DE, Thigpen CM. Heel pain--operative results. Foot Ankle. 1984 Jul-Aug;5(1):16-25. doi: 10.1177/107110078400500103.

  PMID: 6479759 BACKGROUND

• Yanbin X, Haikun C, Xiaofeng J, Wanshan Y, Shuangping L. Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy. J Foot Ankle Surg. 2015 Sep-Oct;54(5):856-9. doi: 10.1053/j.jfas.2015.02.008. Epub 2015 Jun 6.

  PMID: 26058817 BACKGROUND

• Kalen V, Brecher A. Relationship between adolescent bunions and flatfeet. Foot Ankle. 1988 Jun;8(6):331-6. doi: 10.1177/107110078800800609.

  PMID: 3402852 BACKGROUND

MeSH Terms

Conditions

Heel Spur

Condition Hierarchy (Ancestors)

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

Central Study Contacts

George Botros Mosa, Master

CONTACT

+201012762194; george.17289633@med.aun.edu.eg

Ahmed Ekram Osman, PhD

CONTACT

+201012756356; ahmed.osman@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: February 22, 2026
• First Posted: February 27, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): October 1, 2027
• Study Completion (Estimated): October 1, 2028
• Last Updated: February 27, 2026

Record last verified: 2026-02