Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results
| العنوان: | Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results |
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| المؤلفون: | Jung-Shun Lee, Kuo-Chen Wu, Tai-Chang Chern, F. W. Liang, Tung-Tai Wu, I-Ming Jou, C. J. Shao, Po-Ting Wu, Fong-Chin Su |
| المصدر: | Ultraschall in der Medizin - European Journal of Ultrasound. 37:56-62 |
| بيانات النشر: | Georg Thieme Verlag KG, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Percutaneous, Visual Analog Scale, Visual analogue scale, Statistics as Topic, Plantar fasciitis, Recurrence, medicine, Humans, Radiology, Nuclear Medicine and imaging, Local anesthesia, Obesity, Fascia, Ultrasonography, Interventional, business.industry, Ultrasound, Equipment Design, Middle Aged, Surgery, body regions, medicine.anatomical_structure, Fasciitis, Plantar, Orthopedic surgery, Female, Plantar fascia, medicine.symptom, business, Follow-Up Studies |
| الوصف: | We evaluated the effects of ultrasound (US)-guided percutaneous radiofrequency thermal lesioning (RTL) and the impact of obesity when treating patients with recalcitrant plantar fasciitis.30 consecutive patients were enrolled. The visual analog scale (VAS), American Orthopedic Foot-Ankle Society (AOFAS) Ankle-Hindfoot Score, and plantar fascia thickness measured using US were recorded at baseline and at follow-up 1, 3, 6, and 12 months after surgery under local anesthesia.12 patients in the obese (BMI ≥ 30 kg/m(2)) group and 18 patients in the non-obese group. There were significant postoperative decreases in VAS scores and in fascial thickness, and an increase in the AOFAS scores (all p 0.001). The obese group showed delayed pain and functional improvement within the first 3 months after the index procedure (p 0.01). Significant pain reduction and functional improvement were apparent earlier (after 1 month, p 0.001) in the non-obese group than in the obese group (after 3 months, p 0.05). Fascia thickness was positively correlated with the VAS score and negatively correlated with the AOFAS score (both p 0.001).US should be regarded as a useful objective tool to guide RTL and to monitor the effectiveness of treatment. US-guided percutaneous RTL for recalcitrant PF is a minimally invasive treatment option that yields satisfactory results. Therefore, it should at least be considered before using more invasive procedures. Moreover, obesity leads to delayed improvement but does not affect overall outcome after 12 months. Plantar fascial thickness was correlated with VAS and AOFAS scores. |
| تدمد: | 1438-8782 0172-4614 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24f6b6d441fe3911862323df657f3634 https://doi.org/10.1055/s-0034-1385466 |
| رقم الأكسشن: | edsair.doi.dedup.....24f6b6d441fe3911862323df657f3634 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14388782 01724614 |
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