NCT02287714

Instep Plantar Fasciotomy With and Without Gastrocnemius Recession

Surgical Treatment of Plantar Fasciitis: Instep Plantar Fasciotomy With and Without Gastrocnemius Recession

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: OhioHealth · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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

Detailed 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.

Conditions

• Plantar Fasciitis
• Equinus Deformity

Interventions

Type	Name	Description
PROCEDURE	Instep without gastrocnemius recession	Patient will receive an instep plantar fascial release without gastrocnemius recession.
PROCEDURE	Instep with gastrocnemius recession	Patient will receive an instep plantar fascial release as well as gastrocnemius recession.

Timeline

• Start date: 2014-05-01
• Primary completion: 2016-02-01
• Completion: 2016-02-01
• First posted: 2014-11-11
• Last updated: 2016-03-29

Locations

4 sites across 1 country: United States