Cargando…

Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report

Plantar fasciitis is a common cause of heel pain, and the disorder is generally self-limiting after adequate conservative treatment. When conservative treatment is unsuccessful, surgical release is an effective treatment option. Here we report a case of iatrogenic plantar fascia rupture after surgic...

Descripción completa

Detalles Bibliográficos
Autores principales: Chin, Chien-Ming, Tang, Huan-Ming, Yang, Kai-Chiang, Chen, Ing-Ho, Wang, Chen-Chie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9415700/
https://www.ncbi.nlm.nih.gov/pubmed/36013542
http://dx.doi.org/10.3390/medicina58081075
_version_ 1784776295557627904
author Chin, Chien-Ming
Tang, Huan-Ming
Yang, Kai-Chiang
Chen, Ing-Ho
Wang, Chen-Chie
author_facet Chin, Chien-Ming
Tang, Huan-Ming
Yang, Kai-Chiang
Chen, Ing-Ho
Wang, Chen-Chie
author_sort Chin, Chien-Ming
collection PubMed
description Plantar fasciitis is a common cause of heel pain, and the disorder is generally self-limiting after adequate conservative treatment. When conservative treatment is unsuccessful, surgical release is an effective treatment option. Here we report a case of iatrogenic plantar fascia rupture after surgical release for treatment of recalcitrant plantar fasciitis. Preoperative MRI revealed a 4.2 cm gap between the distal fascia stump and the calcaneal tuberosity in the sagittal view at 8 months post-injury. To circumvent the possibility of rupture site retear or poor tissue healing by direct repair, we used tendon allografting for the reconstruction of the chronic plantar fascia rupture. The patient gradually recovered after the surgery. Complications of plantar fascia rupture after surgical release is a potential risk but rarely observed. Chronic plantar fascia rupture with medial arch collapse is difficult to treat. We used a tendon allograft to reconstruct the plantar fascia, restoring its function and mechanical strength. After 5 years of follow-up, no complications were reported, and magnetic resonance imaging indicated the reconstructed plantar fascia tissue to be in good condition.
format Online
Article
Text
id pubmed-9415700
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-94157002022-08-27 Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report Chin, Chien-Ming Tang, Huan-Ming Yang, Kai-Chiang Chen, Ing-Ho Wang, Chen-Chie Medicina (Kaunas) Case Report Plantar fasciitis is a common cause of heel pain, and the disorder is generally self-limiting after adequate conservative treatment. When conservative treatment is unsuccessful, surgical release is an effective treatment option. Here we report a case of iatrogenic plantar fascia rupture after surgical release for treatment of recalcitrant plantar fasciitis. Preoperative MRI revealed a 4.2 cm gap between the distal fascia stump and the calcaneal tuberosity in the sagittal view at 8 months post-injury. To circumvent the possibility of rupture site retear or poor tissue healing by direct repair, we used tendon allografting for the reconstruction of the chronic plantar fascia rupture. The patient gradually recovered after the surgery. Complications of plantar fascia rupture after surgical release is a potential risk but rarely observed. Chronic plantar fascia rupture with medial arch collapse is difficult to treat. We used a tendon allograft to reconstruct the plantar fascia, restoring its function and mechanical strength. After 5 years of follow-up, no complications were reported, and magnetic resonance imaging indicated the reconstructed plantar fascia tissue to be in good condition. MDPI 2022-08-10 /pmc/articles/PMC9415700/ /pubmed/36013542 http://dx.doi.org/10.3390/medicina58081075 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Chin, Chien-Ming
Tang, Huan-Ming
Yang, Kai-Chiang
Chen, Ing-Ho
Wang, Chen-Chie
Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title_full Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title_fullStr Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title_full_unstemmed Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title_short Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report
title_sort surgical reconstruction with tendon allografting following iatrogenic rupture of the plantar fascia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9415700/
https://www.ncbi.nlm.nih.gov/pubmed/36013542
http://dx.doi.org/10.3390/medicina58081075
work_keys_str_mv AT chinchienming surgicalreconstructionwithtendonallograftingfollowingiatrogenicruptureoftheplantarfasciaacasereport
AT tanghuanming surgicalreconstructionwithtendonallograftingfollowingiatrogenicruptureoftheplantarfasciaacasereport
AT yangkaichiang surgicalreconstructionwithtendonallograftingfollowingiatrogenicruptureoftheplantarfasciaacasereport
AT cheningho surgicalreconstructionwithtendonallograftingfollowingiatrogenicruptureoftheplantarfasciaacasereport
AT wangchenchie surgicalreconstructionwithtendonallograftingfollowingiatrogenicruptureoftheplantarfasciaacasereport