Arthroscopic calcaneal spur resection combined with plantar fascia release for heel pain

WU Han; LYU Hao; CHENG Wendan; JING Juehua

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Arthroscopic calcaneal spur resection combined with plantar fascia release for heel pain

更新时间：2023-05-22

- Arthroscopic calcaneal spur resection combined with plantar fascia release for heel pain
- null Issue 6, Pages: 442(2019)
- 作者机构：
  
  安徽医科大学第二附属医院骨科,安徽,合肥,230000
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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WU Han, LYU Hao, CHENG Wendan, et al. Arthroscopic calcaneal spur resection combined with plantar fascia release for heel pain. [J]. null (6):442(2019)
DOI：

WU Han, LYU Hao, CHENG Wendan, et al. Arthroscopic calcaneal spur resection combined with plantar fascia release for heel pain. [J]. null (6):442(2019) DOI：

摘要

目的探讨关节镜下跟骨骨刺切除联合足底跖筋膜松解术治疗足跟痛的可行性及疗效。方法回顾性分析2015年1月至2017年12月43例跟骨刺疼痛患者的临床资料，所有患者均行关节镜下疼痛跟骨刺切除联合足底筋膜松解术，术后随访6~12个月。除常规足部检查外，采用VAS评分系统评估足部的疼痛程度。采用AOFASAH评分系统对足痛、自主活动、步态和稳定性进行综合评价。结果 VAS评分由术前的（8.71±1.64）分降为术后6个月的（6.28±2.44）分，差异具有统计学意义（P＜0.05）。AOFAS-AH评分从术前的（56.43±3.72）分增加至术后6个月的（94.51±2.93）分，差异具有统计学意义（P<0.05）。结论关节镜下跟骨骨刺切除联合足底跖筋膜松解术治疗足跟痛术后疼痛缓解快、足部功能恢复快，微创手术效果满意，具有较大的临床可行性和优越性。

Abstract

Objective To investigate the feasibility and effect of arthroscopic resection combined with plantar fascia release for heel pain. Methods From January 2015 to December 2017

the clinical data of 43 patients with painful calcaneal spur were analyzed retrospectively.All patients underwent arthroscopic resection of painful calcaneal spur combined with plantar fascia release.Patients in our study were followed up for 6 months to 12 months after surgery.Besides routine foot examination

the VAS score was used to assess the pain of the affected foot.The AOFASAH scoring system was used to assess the comprehensive function of foot pain

voluntary activity

gait and stability. ResultsThe VAS score was (8.71±1.64) preoperatively and (6.28±2.44) at 6 month postoperatively.AOFASAH score was improved from (56.43±3.72) preoperatively to (94.51±2.93) at 6month followup

the difference was significant（P<0.05）.ConclusionArthroscopic resection of painful calcaneal spur has great clinical feasibility and superiority with rapid relief of postoperative pain

fast recovery of foot function and satisfactory effect of minimally invasive surgery.

关键词

关节镜跟骨骨刺跖筋膜治疗跟痛症

Keywords

endoscopycalcaneus spurplantar fasciatreatmentheel pain

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