Early-Term Functional Results for Combined Technique of Calcaneal Spur Removal, Calcaneal Drilling, and Plantar Fascia Release in Painful Heel Syndrome

Özet

Introduction: Painful heel syndrome is characterized by pain and sensitivity in the inferomedial aspect of the calcaneal tuberosity. In cases resistant to conservative treatment, various surgical procedures may be used. The purpose of this study was to report the functional outcomes for a combined technique of calcaneal spur excision, drilling, and plantar fascia release for the treatment of resistant heel pain. Methods: Patient results of preoperative and postoperative American Orthopaedic Foot and Ankle Score (AOFAS), Visual Analogue Scale (VAS), and Short Form 12 Physical Composite Score (SF-12 PCS) were evaluated. Calcaneal spur recurrence was investigated radiologically. Results: The median preoperative scores were AOFAS: 50.6, VAS: 7.4, and SF-12 PCS: 42.9. The median postoperative scores were AOFAS: 90.4, VAS: 1.6, and SF-12 PCS: 57.1. Discussion and Conclusion: Percutaneous calcaneal drilling, spur excision, and minimally invasive plantar fascia release provided good early results in the treatment of resistant heel pain