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学科主题: 临床医学
题名:
Minimally invasive treatment of the KobyGard system for plantar fasciitis: a retrospective study
作者: Xu Hai-lin; Xu Lei; Zhang Dian-ying; Fu Zhong-guo; Wang Tian-bing; Zhang Pei-xun; Jiang Bao-guo
关键词: plantar fasciitis ; heel pain ; fasciotomy ; minimal invasion ; retrospective study
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2012-11-20
DOI: 10.3760/cma.j.issn.0366-6999.2012.22.010
卷: 125, 期:22, 页:3966-3971
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: PERCUTANEOUS BIPOLAR RADIOFREQUENCY ; HEEL PAIN ; TRIAL
英文摘要:

Background Calcodynia is a persistent condition that podiatric surgeons frequently see among their patients, and plantar fasciitis is the main reason for pain. When systematic conservative treatments fail to alleviate these conditions, it requires surgical intervention, mainly plantar fascia release surgery, which used to be an open heel release surgery. This study aimed to investigate whether minimally invasive treatment of the KobyGard system is more safe and effective for plantar fasciitis.

Methods From May 2009 to May 2012, a total of nine patients, three males and six females with plantar fasciitis, were treated in the Peking University People′s Hospital with minimally invasive instruments, the KobyGard system, for the release of plantar fascia. Three patients, experiencing bilateral calcaneodynia, underwent bilateral surgery. One patient had bilateral calcaneodynia with enthesiopathy of Achilles tendon, and underwent Achilles tendon surgery. Preoperative and postoperative Visual Analogue Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot scores, Roles and Maudsley scores and SF-36 questionnaires were evaluated.

Results The nine patients were successfully followed up. The average postoperative follow-up time was 13.2 months and it varied from 2.0 months to 21.0 months. Pre- and postoperative average scores of VAS was 9.3 and 1.9 (P <0.001), respectively. Pre- and postoperative average scores of AOFAS hind foot was 36.0 and 82.0 (P <0.001), respectively. There was also a statistically significant amelioration in SF-36 scores and the Roles and Maudlesy scores. Eight patients were satisfied with the surgery outcome.

Conclusion Minimally invasive surgery treatment of the KobyGard system for plantar fasciitis has the advantages of shorter operation time, ease of operation, and similar satisfaction rates with open surgery, but with smaller surgical incision. Chin Med J 2012;125(22):3966-3971

语种: 英语
WOS记录号: WOS:000312748100011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67277
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Orthopaed Trauma, Beijing 100044, Peoples R China

Recommended Citation:
Xu Hai-lin,Xu Lei,Zhang Dian-ying,et al. Minimally invasive treatment of the KobyGard system for plantar fasciitis: a retrospective study[J]. CHINESE MEDICAL JOURNAL,2012,125(22):3966-3971.
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