ArticleInternational orthopaedics2025
Endoscopic plantar fascia release via dual medial deep fascia approach for refractory plantar fasciitis: an effective, safe, and rapid surgical approach.
Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Ultrasound-guided endoscopy for recalcitrant plantar fasciitis with calcaneal spurs: A safety-oriented surgical adjunct to minimize complications.International orthopaedics · 2026Article
- Outcomes of iliac crest bone marrow aspirate injection in the treatment of recalcitrant plantar fasciitis.International orthopaedics · 2026Article
- Comparison of endoscopic plantar fasciotomy and endoscopic partial fascia detachment in patients with chronic plantar fasciitis: a retrospective 1-year follow-up study.Frontiers in surgery · 2026Article
- Efficacy of Ultrasound-Guided Tibial Nerve Block Combined With Shock Wave in the Treatment of Plantar Fasciitis: A Retrospective Cohort Study.Pain research & management · 2026Article
- Comparison of Endoscopic Plantar Fascia Release With and Without Calcaneal Spur Excision for Recalcitrant Plantar Fasciitis.Foot & ankle orthopaedics · 2026Article
- Does local steroid injection have a prognostic value for endoscopic plantar fascia release in chronic plantar fasciopathy?BMC musculoskeletal disorders · 2025Article
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10 authors.
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Abstract
objectiveThis study aims to evaluate the clinical efficacy of endoscopic plantar fascia release through the modified dual medial deep fascia approach for the treatment of refractory plantar fasciitis.
methodsA retrospective study was conducted involving 34 patients with refractory plantar fasciitis treated by endoscopic plantar fascia release through the modified dual medial deep fascia approach. Among them, 25 patients had concurrent calcaneal spurs. All patients were followed for a minimum of 12 months. Functional outcomes were assessed using the Visual Analogue Scale (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score, while structural evaluations included the Medial Longitudinal Arch Angle (MLAA), navicular tuberosity height-to-foot length ratio (NH/FL), and the Arch Index (AI). Differences between patients with and without calcaneal spurs were also analyzed.
resultsAll patients completed at least 12 months of follow-up, with primary wound healing in all cases. Two patients experienced transient plantar skin numbness and small toe abduction difficulty, which resolved within three months. The VAS score decreased significantly from 6.53 ± 1.19 preoperatively to 1.18 ± 0.76 postoperatively, and the AOFAS score improved from 52.41 ± 5.23 to 93.29 ± 3.91 (both P < 0.05), indicating statistical significance. However, changes in the MLAA, NH/FL and AI were not statistically significant. Apart from age differences (49.04 ± 4.41 vs. 34.56 ± 3.13), no significant differences in other scores were observed between the calcaneal spur group and the non-calcaneal spur group at the final follow-up. Moreover, compared to the methods reported in other studies, our study demonstrated a shorter operative time and superior pain and functional outcomes.
conclusionThe dual medial deep fascia approach for endoscopic plantar fascia release is a safe, quick, effective, and minimally invasive technique that yields favourable clinical outcomes. It has certain advantages compared to other techniques. The presence of calcaneal spurs does not impact postoperative outcomes.
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