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- W2034135045 abstract "Summary Purpose The purpose of the present study is to present the surgical technique, and to review our indications and results after endoscopic release in plantar fasciitis. Material and methods In 5 embalmed human specimen a biportal technique for endoscopic release of the plantar fascie was established. The purpose was to evaluate the relation between the plantar fascie and the heel spur. Afterwards we tried to release only 50–70% of the plantar fascie from the calcaneus. During a period of 5 years, this surgical technique was performed in 10 male and 7 female patients with the clinical entity of plantar fasciitis. The average age was 35 years (24–56 years). All patients underwent conservative treatment for at least 6 months. Results In the first 5 patients, surgery was performed under c-arm control. In all patients the operation could be completed endosco-pically. The endoscopic protals healed without complications. The time for surgery during the learning curve ranged between 21 and 74 minutes (average: 41 minutes) and was still longer compared to the open technique. The clinical followup ranged between 4 and 48 months (average: 18.5 months). Of the 17 patients, 13 improved clinically and they would choose the treatment option again. In the Ogilvie-Harris score, 7 patients showed good and 6 excellent results. In 2 patients, the initial results were not satisfactory, caused by a bony stress reaction of the calcaneus. This complication was treated by 6 weeks of partial weight bearing without any further problems. Two other patients developed secondary pain in the lateral column. In spite of the minimally invasive approach, it seems to be important to increase the weight bearing in early rehabilitation carefully. Conclusion Endoscopic release of the plantar fascie (ERPF) is a standardized and reproducable procedure. The midterm results are promising. A loss of plantar stability should be kept in mind and has to be avoided." @default.
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- W2034135045 date "2004-01-01" @default.
- W2034135045 modified "2023-09-27" @default.
- W2034135045 title "Indikation, OP-Technik und Ergebnisse des endoskopischen Releases der Plantarfaszie (ERPF)" @default.
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- W2034135045 doi "https://doi.org/10.1007/s10302-004-0063-y" @default.
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