Open AccessPartial plantar fasciectomy for the treatment of plantar fibromatosis
Author(s) -
Lucas Plens de Britto Costa,
Lucas Furtado da Fonseca,
André Vitor Kerber Cavalcante Lemos,
Vinícius Felipe Pereira,
César de César Netto,
Fernando Raduan,
Caio Nery,
Nacime Salomão Barbachan Mansur
Publication year - 2021
Publication title -
jornal of the foot and ankle
Language(s) - English
Resource type - Journals
ISSN - 2675-2980
DOI - 10.30795/jfootankle.2021.v15.1540
Subject(s) - medicine , plantar fascia , surgery , dehiscence , fascia , aggressive fibromatosis , wound dehiscence , retrospective cohort study , plantar fasciitis , fibromatosis , heel , anatomy
Objective: We describe a series of patients treated with resection of the affected band. We assessed functional outcome, recurrence rate, and surgical wound complications, comparing these data with the available literature. Methods: This retrospective study (level of evidence IV) included 14 patients (17 feet) diagnosed with plantar fibromatosis in the medial portion of the fascia that was refractory to conservative treatment. All operations were performed between December 2016 and November 2018. All patients were assessed for symptom improvement and major and minor complications, in addition to recurrence during the study period.Results: Our sample included 9 men and 5 women, whose mean age was 40.6 years (15-63). All of the patients underwent partial fasciectomy of the medial fascial band with margins of at least 2 cm. There was recurrence in 5 of the 17 feet (29%), but only two required further intervention. Wound dehiscence occurred in 3 patients (17%), and one of the cases was severe, requiring plastic surgery. Two feet showed signs of injury to the digital branch of the medial plantar nerve. Conclusion: Partial plantar fasciectomy is an alternative treatment for plantar fibromatosis (Ledderhose’s disease). Our results agree with the literature in terms of recurrence and postoperative complications. The moderate rate of complications must be taken into account when indicating this procedure. Level of Evidence IV; Therapeutic Studies; Case Series.