ArticleFoot & ankle orthopaedics2026
Comparison of Endoscopic Plantar Fascia Release With and Without Calcaneal Spur Excision for Recalcitrant Plantar Fasciitis.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Endoscopic plantar fascia release (EPFR) is a common surgical option for recalcitrant plantar fasciitis. Although calcaneal spur excision (CSE) is frequently performed as an adjunct, its added clinical benefit remains unclear. This study compared outcomes of EPFR alone vs EPFR combined with CSE. Methods: This retrospective study included 23 patients (30 feet) who underwent endoscopic surgery for plantar fasciitis between 2017 and 2024. Patients were divided into 2 groups according to surgical procedure performed: EPFR (n = 22 feet) and EPFR+CSE (n = 8 feet). Pain and functional outcomes were assessed pre- and postoperatively using the visual analog scale (VAS), first-step VAS, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, and Foot Function Index (FFI). Results: Both procedures were associated with significant postoperative improvement in pain and function (all Conclusion: EPFR, with or without CSE, was associated with clinical and functional improvement. With the numbers available, no additional benefit of CSE could be detected. Level of Evidence: Level III, retrospective comparative study.
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