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Plantar fibromatosis: Surgical approach of a giant bilateral case
Author(s) -
OcampoGarza Jorge,
Azevedo Cunha Rafael,
Silva Pereira Caroline,
Sanderson Angela,
PintoDesmond Karina,
MachadoFilho Carlos D'Apparecida,
Haneke Eckart,
Marques de Carvalho Mario
Publication year - 2018
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.13840
Subject(s) - medicine , plantar fascia , fibromatosis , surgery , surgical resection , etiology , lesion , fascia , quality of life (healthcare) , surgical excision , pathology , alternative medicine , plantar fasciitis , nursing
Background Plantar fibromatosis or Ledderhose disease is characterized by a benign fibroblastic proliferation of the plantar fascia. It is an illness with unknown etiology and a complex treatment in its most intense manifestation. Objective The authors describe a surgical option for extensive cases where conservative treatments are not successful. Surgical techniques may vary according to the site and extent of the lesions. Methods Surgical treatment with wide resection of the lesion and second intention healing using a hydrocolloid dressing. Results After a 3‐year follow‐up with no recurrence, the authors demonstrated an excellent result, which led to an important improvement in the patient's quality of life. Conclusion Surgical treatment can be a good option for plantar fibromatosis. Giant lesions can be treated with wide excisions and second intention healing, with low risk of aesthetic and functional complications.