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      Plantar fasciotomy for intractable plantar fasciitis: clinical results and biomechanical evaluation.

      Foot & ankle

      Adolescent, Adult, Biomechanical Phenomena, Fasciitis, physiopathology, radiography, surgery, Female, Follow-Up Studies, Foot Diseases, Humans, Male, Middle Aged

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          Abstract

          Thirteen consecutive patients underwent plantar fasciotomy in 16 feet for intractable plantar fasciitis and had follow-up from 4.5 to 15 years. Plantar fasciotomy was successful (good or excellent results) for 71% of the 14 feet operated on and for which follow-up data were available. However, time to full recovery was prolonged, additional treatment was frequently required, and abnormalities of foot function persisted. Flattening of the longitudinal arch occurred. Dynamic force-plate studies showed differences in peak vertical, fore-aft, and lateral-medial forces between patients and matched controls. More rapid progression of weightbearing along the longitudinal axis of the foot during stance phase in patients indicated avoidance of heel loading.

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          1634150

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