Observation on the Effect of Arthroscopic Treatment for Refractory Plantar Fasciitis with Calcaneal Bone Spurs to Improve Foot Function and Gait
Objective:To explore the effect of arthroscopic minimally invasive surgery in the treatment of refractory plantar fasciitis with calcaneal bone spurs.Method:A clinical study was conducted on 75 patients with refractory plantar fasciitis accompanied by calcaneal bone spurs who underwent surgical treatment in the hospital from January 2020 to May 2022.The patients were randomly divided into arthroscopic group and open group by using a random number table method.Among them,37 patients underwent arthroscopic surgery(arthroscopic group),while the other 38 patients underwent traditional open surgery(open group).The changes in surgical process indicators,preoperative and postoperative pain levels,plantar and ankle joint function,single support phase of the affected foot and healthy foot step length/height ratio were compared between the two groups of patients.Result:The bleeding volume,postoperative exudation time,and hospitalization time of the arthroscopy group were significantly lower than those of the open group patients and the difference was statistically significant(P<0.05).Before surgery,the difference in Visual analogue pain scale(VAS)scores between the two groups was not statistically significant(P>0.05).1 week and 1 month after the operation,the VAS score of the arthroscopy group was lower than that of the open group and the difference was statistically significant(P<0.05).3 months after the operation,there was no significant difference in the VAS score(P>0.05).Before operation,1 week after operation,1 month after operation and 3 months after operation,there were differences in the single support phase and the stride length/height ratio of the affected foot between the two groups(P>0.05).Before operation,the Hawkins score of the two groups was not statistically different(P>0.05).1 week after surgery,the Hawkins score of the arthroscopy group was higher than that of the open group(P<0.05).1 month after operation and 3 months after operation,there was no significant difference in Hawkins score between the two groups(P>0.05).Conclusion:Arthroscopic minimally invasive surgery for the treatment of refractory plantar fasciitis with calcaneal spurs is reliable,which also take advantage of small surgical trauma,low pain in the early postoperative period,and good recovery of foot and ankle joint function.
万方数据
维普
