Instep Plantar Fasciotomy With and Without Gastrocnemius Recession

OhioHealth

Status: Withdrawn

Conditions: Plantar Fasciitis; Equinus Deformity

Treatments: Procedure: Instep without gastrocnemius recession; Procedure: Instep with gastrocnemius recession

Study type: Interventional

Funder types: Other

Identifiers

NCT02287714

13-0043

Details and patient eligibility

About

Compare results of Instep Plantar Fascial release with and without gastrocnemius recession

Full description

Plantar fasciitis is one of the most common causes of heel pain. Approximately 2 million Americans seek treatment for plantar fasciitis every year, with 10% of the population developing plantar fasciitis over a lifetime. The vast majority of cases respond to conservative care; however, the 5-10% of cases that are recalcitrant to conservative measures may require surgical intervention. Several surgical options do exist and are cited in the literature for treatment of recalcitrant plantar fasciitis. One such approach is the instep plantar fascial release, utilizing an approximately 2-3 cm plantar incision over the prominent fascial band, just distal to the fat pad of the heel. It has been demonstrated that many patients with plantar fasciitis also have an isolated contracture of the gastrocnemius, known as gastrocnemius equinus. Gastrocnemius recession is performed to correct an isolated gastrocnemius contracture and recent studies have demonstrated its successful use in the treatment of recalcitrant foot pain. To date, no prospective studies exist examining the utilization of the gastrocnemius recession in combination with instep plantar fascial release in the treatment of recalcitrant plantar fasciitis. This prospective randomized trial will aim to compare the use of instep plantar fasciotomy both with and without gastrocnemius recession in the treatment of plantar fasciitis.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients that have failed conservative treatment for greater than 6 months.
• Patients with recalcitrant plantar fasciitis and simultaneous gastrocnemius contracture in the ipsilateral limb. Contracture will be defined as the inability to dorsiflex the ankle past neutral with the knee in extension.

Exclusion criteria

• Adjunctive procedure at the time of surgery.
• History of heel spur surgery, plantar fasciotomy or extracorporeal shockwave therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Instep without Gastrocnemius Recession

Active Comparator group

Description:

Patient will receive an instep plantar fascial release but not a gastrocnemius recession.

Treatment:

Procedure: Instep without gastrocnemius recession

Instep with Gastrocnemius Recession

Experimental group

Description:

Patient will receive an instep plantar fascial release as well as a gastrocnemius recession.

Treatment:

Procedure: Instep with gastrocnemius recession