Evidence map›Paper›PMID 42204579›Full record

SynthesisJournal of orthopaedic surgery and research2026

Endoscopic plantar fasciotomy versus open plantar fasciotomy for treatment of plantar fasciitis: a systematic review and meta-analysis.

Mohammed Ali Saghir, Ahmed Samir Bashandy, Ahmed Mahmoud Kholeif

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mohammed Ali SaghirFaculty of Medicine and Health Sciences, University of Saba Region, Marib, Yemen. moh.saghir2019@gmail.com.ORCID http://orcid.org/0000-0001-9938-5884
Ahmed Samir BashandyOrthopaedics and Traumatology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed Mahmoud KholeifOrthopaedics and Traumatology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlantar fasciitis is a degenerative pathology that most common causing heel pain in adults aged 40-60. Severe pain typically presents at morning or after prolonged activity. Treatment includes conservative measures, physical therapy, orthotics, and injections. Surgical intervention is considered for severe cases requiring prolonged treatment.

objectivesThe primary objective is to compare functional outcomes between open and endoscopic plantar fasciotomy, while the secondary objective is to compare their respective complication rates. MATERIALS AND

methodsA comprehensive search of the English-language literature was conducted using multiple databases, including PubMed, Cochrane, Scopus and Google Scholar in addition to a manual search. Studies regrading endoscopic plantar fasciotomy (EPF) and open plantar fasciotomy (OPF) were included in the meta-analysis. The methodological quality of the included studies was assessed using the appropriate tool. A sensitivity analysis was performed to evaluate the robustness of the findings. The analysis focused on outcomes such as pain relief (VAS scores), functional improvement (AOFAS scores), complications and operative time. A total of 19 articles met the inclusion criteria for this meta-analysis.

resultsThis meta-analysis of 19 studies and 646 patients showed that both OPF and EPF resulted in excellent improvements in AOFAS and VAS scores. Comparative studies revealed a non-significant difference between the two groups, with Standardized Mean Difference (SMD) for VAS score {1.36 (95% CI (- 4.03, 6), p-value = 0.390} and {- 0.39 (95% CI (- 5.41, 4.63), p-value = 0.770} for AFOS score. Consistently and significantly shorter mean operative time for EPF (15.76 min) compared to OPF (36.78 min). EPF demonstrated a lower complication rate 5% (95% CI: 2%, 9%). Compared with OPF 11% (95% CI: 2%, 45%). However non-comparative studies demonstrated OPF slightly more pain relief (VAS score) and functional improvement (AOFAS score).

conclusionThis study showed that both EPF and EPF appear to be effective treatments. EPF was associated with shorter operative times and a lower complication rate.

Indexed as

EndoscopyFasciitis, PlantarFasciotomyHumansMiddle AgedTreatment OutcomeEndoscopic releaseHeel painPlantar fasciaPlantar fasciitisPlantar fasciotomy

Identifiers

PMID42204579
PMCPMC13403402

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.