Comparison of three types of postoperative management for endoscopic plantar fasciotomy. A retrospective study

BJ ZimmermanRiverside Mercy Hospital, Toledo, OH, USA.

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MD CardinalRiverside Mercy Hospital, Toledo, OH, USA.

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MD CragelRiverside Mercy Hospital, Toledo, OH, USA.

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AR GoelRiverside Mercy Hospital, Toledo, OH, USA.

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JW LaneRiverside Mercy Hospital, Toledo, OH, USA.

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KA SchrammRiverside Mercy Hospital, Toledo, OH, USA.

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This study compared three types of postoperative management of patients undergoing endoscopic plantar fasciotomy. Participating in the study were 38 patients (45 feet) who had undergone endoscopic plantar fasciotomy from 1995 to 1998. One group of patients wore a below-the-knee walking cast with a molded medial longitudinal arch for 2 weeks; another group was allowed immediate plantigrade weightbearing; the third group was nonweightbearing with crutch-assisted ambulation for 2 weeks. The results showed that the patients who wore the below-the-knee walking cast for 2 weeks required less time to obtain 80% pain relief, needed less time to return to full activities, and had fewer complications than those patients who were allowed immediate plantigrade weightbearing. Moreover, patients who wore the below-the-knee walking cast were more satisfied with their postoperative results than patients who were nonweightbearing for 2 weeks.