Plantar Fasciotomy

Plantar fasciotomy

Cutting of plantar fascia.

Indications:
• recalcitrant plantar fasciitis/’heel spur’ syndrome that has not responded to conservative management (including night splints and cast immobilisation) for at least 9-12 months – many other conditions can also cause plantar heel pain  check diagnosis
• cavus deformities in conjunction with rearfoot osseous procedures

Techniques:
• transverse, longitudinal or oblique incisions

Outcomes:

Long term complications:
• Stress fracture (especially if overagressive resection of spur); recurrence; haematoma; scar pain
• ‘Lateral column syndrome’

Related Topics:
Plantar Fasciitis | Deliberate Rupture of Plantar Fascia to Treat Plantar Fasciitis