Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2026
Retrospective study investigating the effect of isolated proximal medial gastrocnemius release for recalcitrant plantar fasciitis.
СтатьяНазвание и аннотация: Перевод в очереди
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Akichjev Romaan, Hamers Delphine, Vandeputte Geoffroy, Wuite Sander, Clockaerts Stefan
Аннотация
BACKGROUND: Plantar fasciitis (PF) is a well-known cause of inferior heel pain. Gastrocnemius tightness plays an important role in the pathophysiology. PF is mainly treated conservatively, but in a limited number of patients further surgery is needed. We investigated whether proximal medial gastrocnemius release (PMGR) as an isolated procedure is a successful treatment with low complication rates.
METHODS: This retrospective follow up included patients who underwent PMGR between August 2020 and December 2024 for recalcitrant PF. Diagnosis of PF was confirmed clinically and radiologically. A minimum of 6 months conservative treatment together with a positive Silfverskiöld's test was indicative for surgery. Pain and functional assessment were measured preoperatively, at 2 weeks and 2 years postoperatively using the European Foot and Ankle Society (EFAS) questionnaire and the Visual Analog Scale (VAS).
RESULTS: A total of 24 patients (34 feet) were included. The mean preoperative EFAS score improved from 1.79 ± 3.362-12.46 ± 7.14 at 2 weeks (P < 0.001) and to 22.08 ± 4.31 at 2 years postoperative (P < 0.001). The mean preoperative VAS score declined from 8.17 ± 1.05-4.67 ± 2.48 2 weeks postoperatively (P < 0.001) to 1.17 ± 2.51 2 years postoperatively (P < 0.001). There was 1 case of deep venous thrombosis with associated pulmonary embolism, no other complications were noted.
CONCLUSIONS: PMGR provides good results for patients with recalcitrant plantar fasciitis with a high satisfaction and low complication rate.
METHODS: This retrospective follow up included patients who underwent PMGR between August 2020 and December 2024 for recalcitrant PF. Diagnosis of PF was confirmed clinically and radiologically. A minimum of 6 months conservative treatment together with a positive Silfverskiöld's test was indicative for surgery. Pain and functional assessment were measured preoperatively, at 2 weeks and 2 years postoperatively using the European Foot and Ankle Society (EFAS) questionnaire and the Visual Analog Scale (VAS).
RESULTS: A total of 24 patients (34 feet) were included. The mean preoperative EFAS score improved from 1.79 ± 3.362-12.46 ± 7.14 at 2 weeks (P < 0.001) and to 22.08 ± 4.31 at 2 years postoperative (P < 0.001). The mean preoperative VAS score declined from 8.17 ± 1.05-4.67 ± 2.48 2 weeks postoperatively (P < 0.001) to 1.17 ± 2.51 2 years postoperatively (P < 0.001). There was 1 case of deep venous thrombosis with associated pulmonary embolism, no other complications were noted.
CONCLUSIONS: PMGR provides good results for patients with recalcitrant plantar fasciitis with a high satisfaction and low complication rate.