Revista de la Asociación Argentina de Ortopedia y Traumatología
versión On-line ISSN 1852-7434
YANEZ ARAUZ, Juan M; DEL VECCHIO, Jorge J; RAIMONDI, Nicolás y CODESIDO, Mariano A. Risk of surgical lesions in percutaneous plantar fasciotomy: anatomical study in fresh cadavers. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2011, vol.76, n.2, pp. 141-145. ISSN 1852-7434.
Background: Plantar fasciitis is a common condition. In cases of non-response to conservative treatment, surgery is performed. The aim of the study was to determine the risk of injury to noble structures in percutaneous surgery, and to define a safety zone. Methods: In 11 fresh cadavers, percutaneous fasciotomy was performed according to the De Prado technique, and later evaluated with regards to injury to noble structures, and distance between the knife and neurovascular structures. Results: There was no evidence of any damage to hind-foot nerves and vessels. The average distance between the incision and the lateral plantaris nerve was 16 mm, and between the incision and the digiti Quinti nerve 10.7 mm. There were no vascular lesions. Conclusions: The study demonstrates the low risk of neurovascular injury during the practice of percutaneous plantar fasciotomy, when working in contact with the calcaneus.
Palabras clave : Plantar fasciitis; Percutaneous surgery; Heel spurs.