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Percutaneous Plantar Fasciotomy for the Surgical Treatment of Refractive Plantar Fasciitis

Borrelli, Anthony Henry DPM, FACFAS

Techniques in Foot & Ankle Surgery: June 2011 - Volume 10 - Issue 2 - p 49–55
doi: 10.1097/BTF.0b013e31821a2a14
Special Focus: Current Techniques for Treating Chronic Heel Pain

Percutaneous plantar fasciotomy is a surgical technique used to relieve the condition of chronic plantar fasciitis. The procedure was developed in part as a means to avoid excessive fibrosis during the postoperative period, resulting from surgical trauma, after fasciotomy. As the calcaneal spur, if present, is known not to contribute to the condition, it is not removed and thereby helping to accelerate healing by further minimizing surgical trauma. Further, by keeping the release of the fascia below 50% of its width, the complications of lateral column instability and increased forefoot and lateral column stress is kept to a minimum.

Weil Foot and Ankle Institute, Des Plaines, Il

The author has no funding to declare.

Address correspondence and reprints request to Anthony H. Borrelli, DPM, FACFAS, Weil Foot and Ankle Institute 1455 Golf Road. Des Plaines, Il 60016. e-mail: AHB@Weil4feet.com.

© 2011 Lippincott Williams & Wilkins, Inc.