Objective To explore the effect of modified double-approach endoscopic plantar fasciitis release combined with local calcaneal decompression on clinical efficacy,plantar tenderness and ankle function in patients with plantar fasciitis.Methods A total of 81 patients with plantar fasciitis admitted to Ganzhou People's Hospital from July 2020 to July 2023 were selected as the study objects and they were divided into control group(40 cases)and study group(41 cases)according to random number table method.The control group was treated with improved double approach endoscopic plantar fascia release,while the study group was treated with improved double approach endoscopic plantar fascia release combined with local decompression of calcaneal bone.The total clinical effective rates of the two groups were compared.The plantar tenderness(visual analogue scale[VAS]),ankle function(American orthopedic foot and ankle society ankle-hind foot scale[AOFAS-AH])and ankle function(foot and ankle outcome score[FAOS])between the two groups were compared before surgery and 3 months after surgery.Results The total clinical effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P＜0.05).At three months after surgery,the VAS scores of both groups were lower than those of the same group before surgery,and the VAS score of the study group was lower than the control group,and the differences were statistically significant(P＜0.05).At three months after surgery,the AOFAS-AH scores of the two groups were higher than those of the same group before surgery,and the AOFAS-AH score of the study group was higher than that of the control group,and the differences were statistically significant(P＜0.05).At three months after operation,the FAOS scores of the two groups were higher than those of the same group before operation,and the FAOS score of the study group was higher than the control group,and the differences were statistically significant(P＜0.05).Con-clusion Local decompression of calcaneal bone during endoscopic plantar fasciitis not only alleviated the clinical symptoms of plantar tenderness,swelling and limited movement,but also effectively improved the function of foot and ankle and the clinical efficacy of plantar fasciitis patients.
Modified double approach endoscopic plantar fasciolysisLocal decompression of calcaneusPlantar fasciitisFoot and ankle function
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