Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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A Prospective Study Comparing Steroid Injection and Needle Fenestration for the Treatment of Chronic Plantar Fasciitis

만성 족저 근막염 환자에게 전향적으로 시행한 스테로이드 주사와 주사침 천공술

  • Lee, Jiwon (Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital) ;
  • Chung, Jin-Wha (Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital)
  • 이지원 (가톨릭대학교 부천성모병원 정형외과) ;
  • 정진화 (가톨릭대학교 부천성모병원 정형외과)
  • Received : 2021.10.18
  • Accepted : 2021.11.08
  • Published : 2021.12.15
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Abstract

Purpose: This study sought to compare needle fenestration with a corticosteroid injection for the treatment of chronic plantar fasciitis. We hypothesized that needle fenestration would be as effective as a corticosteroid injection while avoiding the potential adverse effects of the corticosteroid. Materials and Methods: Forty female patients with unilateral chronic plantar fasciitis who did not respond to a minimum of 6 months of various conservative treatments were prospectively randomized to receive either a corticosteroid injection or needle fenestration. Visual analogue scale and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score were used for all patients before treatment and at 3-, 6-, and 12-month following treatment. Results: The corticosteroid injection group had a before-treatment average AOFAS Ankle-Hindfoot score of 56.4, which increased to 87.3 at 3 months and 78.2 at 6 months after treatment but decreased to 62.4 at 12 months. The needle fenestration group had a before treatment average AOFAS ankle-hindfoot score of 49.5, which increased to 77.8 at 3 months and 92.1 at 6 months after treatment and remained at a high score of 89.4 at 12 months. There were no complications in either group. Conclusion: In the treatment of chronic plantar fasciitis, needle fenestration is as effective at 3- and 6-month post-treatment as a corticosteroid injection. Also, unlike a corticosteroid, its effect remains until 12 months post-treatment.

Keywords

References

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