Partial plantar fasciectomy for the treatment of plantar fibromatosis

Authors

  • Lucas Plens de Britto Costa Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0002-4955-6822
  • Lucas Furtado da Fonseca Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0001-6497-833X
  • André Vitor Kerber Cavalcanti Lemos Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0001-8974-5815
  • Vinicius Felipe Pereira Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0002-1005-6089
  • César de César Netto Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA https://orcid.org/0000-0001-6037-0685
  • Fernando Cepollina Raduan Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA
  • Caio Augusto de Souza Nery Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0002-9286-1750
  • Nacime Salomão Barbachan Mansur Orthopedics and Traumatology Departament, Universidade Federal de São Paulo (UNIFESP), Paulista School of Medicine, São Paulo, SP, Brazil https://orcid.org/0000-0003-1067-727X

DOI:

https://doi.org/10.30795/jfootankle.2021.v15.1540

Keywords:

Fibromatosis, plantar, Treatment, Fasciectomy

Abstract

Objective: We describe a series of patients treated with resection of the affected band. We assessed functional outcome, recurrence  rate, and surgical wound complications, comparing these data with the available literature. Methods: This retrospective study (level of evidence IV) included 14 patients (17 feet) diagnosed with plantar fibromatosis in the medial portion of the fascia that was refractory to conservative treatment. All operations were performed between December 2016 and November 2018. All patients were assessed for symptom improvement and major and minor complications, in addition to recurrence during the study period.
Results: Our sample included 9 men and 5 women, whose mean age was 40.6 years (15-63). All of the patients underwent partial fasciectomy of the medial fascial band with margins of at least 2 cm. There was recurrence in 5 of the 17 feet (29%), but only two required further intervention. Wound dehiscence occurred in 3 patients (17%), and one of the cases was severe, requiring plastic surgery. Two feet showed signs of injury to the digital branch of the medial plantar nerve. Conclusion: Partial plantar fasciectomy is an alternative treatment for plantar fibromatosis (Ledderhose’s disease). Our results agree with the literature in terms of recurrence and postoperative complications. The moderate rate of complications must be taken into account when indicating this procedure. Level of Evidence IV; Therapeutic Studies; Case Series.

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Published

2021-08-31

How to Cite

Costa, L. P. de B., Fonseca, L. F. da, Lemos, A. V. K. C., Pereira, V. F., César Netto, C. de ., Raduan, F. C. . ., Nery, C. A. de S. ., & Mansur, N. S. B. . (2021). Partial plantar fasciectomy for the treatment of plantar fibromatosis. Journal of the Foot & Ankle, 15(2), 124–127. https://doi.org/10.30795/jfootankle.2021.v15.1540