A NEW TREND IN ORTHOPEDICS: RADIOFREQUENCY ABLATION FOR THE TREATMENT OF INTRACTABLE PLANTAR FASCIITIS

Toktamış Savaş; Sezgin B. Tekin; Edip Gönüllü; Çağrı Karabulut

Makale detayları

A NEW TREND IN ORTHOPEDICS: RADIOFREQUENCY ABLATION FOR THE TREATMENT OF INTRACTABLE PLANTAR FASCIITIS

Yazarlar:

Toktamış Savaş | Sezgin B. Tekin | Edip Gönüllü | Çağrı Karabulut

Yayıncı:

Dokuz Eylul University

Ana Başlıklar:

Ortopedi

Dergi:

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi Vol.38 Issue 2, pp.73-82

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327227

pISSN:

2602-3148

Anahtar kelimeler:

Özet:

 BACKGROUND: One of the most common causes of pain in the plantar region of the foot is plantar fasciitis PF, for which there are numerous treatment options. Several invasive and non-invasive treatment modalities have been developed for this condition. One of these options for patients who do not respond to conservative treatment is radiofrequency ablation RFA. Due to its early functional benefits and minimally invasive nature, RFA is believed to achieve successful clinical outcomes in patients with persistent early-stage PF. This study aims to evaluate the efficacy and clinical outcomes of RFA in the treatment of PF. METHODS: A total of 35 patients 46 feet, aged 31-50 years, who were treated with RFA from December 2018 to December 2019 were included in the study. AOFAS American Orthopaedic Foot  Ankle Society and Visual Analog Scale VAS of patients who received conservative treatment for 3 months or longer and whose complaints persisted were pre-treatment PrT of RFA. These scores were re-evaluated after 3 months. RESULTS: Among the patients in the study, 10 28.57 were male and 25 71.43 were female. The mean age of the patients was 40.435.37 years. The PrT and post-treatment PsT VAS scores were 8.971.36 and 5.893.66, respectively. The PrT and PsT AOFAS scores were 48.5110.67 and 65.8622.74, respectively. Statistical analyses showed that the clinical outcomes of RFA were significantly improved after treatment for both scores p0.05. CONCLUSION: RFA, which is rapidly and long-term effective without disrupting the plantar fascia anatomy, is an important minimally invasive treatment option that can be preferred in patients with chronic PF.

 BACKGROUND: One of the most common causes of pain in the plantar region of the foot is plantar fasciitis PF, for which there are numerous treatment options. Several invasive and non-invasive treatment modalities have been developed for this condition. One of these options for patients who do not respond to conservative treatment is radiofrequency ablation RFA. Due to its early functional benefits and minimally invasive nature, RFA is believed to achieve successful clinical outcomes in patients with persistent early-stage PF. This study aims to evaluate the efficacy and clinical outcomes of RFA in the treatment of PF. METHODS: A total of 35 patients 46 feet, aged 31-50 years, who were treated with RFA from December 2018 to December 2019 were included in the study. AOFAS American Orthopaedic Foot  Ankle Society and Visual Analog Scale VAS of patients who received conservative treatment for 3 months or longer and whose complaints persisted were pre-treatment PrT of RFA. These scores were re-evaluated after 3 months. RESULTS: Among the patients in the study, 10 28.57 were male and 25 71.43 were female. The mean age of the patients was 40.435.37 years. The PrT and post-treatment PsT VAS scores were 8.971.36 and 5.893.66, respectively. The PrT and PsT AOFAS scores were 48.5110.67 and 65.8622.74, respectively. Statistical analyses showed that the clinical outcomes of RFA were significantly improved after treatment for both scores p0.05. CONCLUSION: RFA, which is rapidly and long-term effective without disrupting the plantar fascia anatomy, is an important minimally invasive treatment option that can be preferred in patients with chronic PF.

 BACKGROUND: One of the most common causes of pain in the plantar region of the foot is plantar fasciitis PF, for which there are numerous treatment options. Several invasive and non-invasive treatment modalities have been developed for this condition. One of these options for patients who do not respond to conservative treatment is radiofrequency ablation RFA. Due to its early functional benefits and minimally invasive nature, RFA is believed to achieve successful clinical outcomes in patients with persistent early-stage PF. This study aims to evaluate the efficacy and clinical outcomes of RFA in the treatment of PF. METHODS: A total of 35 patients 46 feet, aged 31-50 years, who were treated with RFA from December 2018 to December 2019 were included in the study. AOFAS American Orthopaedic Foot  Ankle Society and Visual Analog Scale VAS of patients who received conservative treatment for 3 months or longer and whose complaints persisted were pre-treatment PrT of RFA. These scores were re-evaluated after 3 months. RESULTS: Among the patients in the study, 10 28.57 were male and 25 71.43 were female. The mean age of the patients was 40.435.37 years. The PrT and post-treatment PsT VAS scores were 8.971.36 and 5.893.66, respectively. The PrT and PsT AOFAS scores were 48.5110.67 and 65.8622.74, respectively. Statistical analyses showed that the clinical outcomes of RFA were significantly improved after treatment for both scores p0.05. CONCLUSION: RFA, which is rapidly and long-term effective without disrupting the plantar fascia anatomy, is an important minimally invasive treatment option that can be preferred in patients with chronic PF.

 AMAÇ: Ayağın plantar bölgesindeki ağrının en yaygın nedenlerinden biri olan plantar fasiit PF için çok sayıda tedavi seçeneği bulunmaktadır. Bu durum için çeşitli invaziv ve non-invaziv tedavi yöntemleri geliştirilmiştir. Konservatif tedaviye yanıt vermeyen hastalar için bu seçeneklerden biri radyofrekans ablasyondur RFA. Erken fonksiyonel faydaları ve minimal invaziv doğası nedeniyle, RFAnın inatçı erken evre PFli hastalarda başarılı klinik sonuçlar elde ettiğine inanılmaktadır. Bu çalışma, RFAnın PF tedavisindeki etkinliğini ve klinik sonuçlarını değerlendirmeyi amaçlamaktadır. GEREÇ ve YÖNTEM: Çalışmaya Aralık 2018den Aralık 2019a kadar RFA ile tedavi edilen 31-50 yaş arası toplam 35 hasta 46 ayak dahil edildi. RFA öncesi PrT 3 ay veya daha uzun süre konservatif tedavi alan ve şikayetleri devam eden hastaların AOFAS American Orthopaedic Foot  Ankle Society ve Görsel Analog Skalası VAS değerlendirildi. Bu skorlar RFA sonrası PsT 3 ay sonra tekrar değerlendirilmiştir. BULGUAR: Çalışmaya katılan hastaların 10u 28.57 erkek, 25i 71.43 kadındı. Hastaların yaş ortalaması 40.435.37 yıl idi. Tedavi öncesi ve sonrası VAS skorları sırasıyla 8.971.36 ve 5.893.66 idi. PrT ve PsT AOFAS skorları sırasıyla 48.5110.67 ve 65.8622.74 idi. İstatistiksel analizler RFAnın klinik sonuçlarının her iki skor için de tedavi sonrasında anlamlı olarak iyileştiğini gösterdi p0.05. SONUÇ: Plantar fasya anatomisini bozmadan hızlı ve uzun süreli etkili olan RFA, kronik PFli hastalarda tercih edilebilecek önemli bir minimal invaziv tedavi seçeneğidir.

Makale detayları

A NEW TREND IN ORTHOPEDICS: RADIOFREQUENCY ABLATION FOR THE TREATMENT OF INTRACTABLE PLANTAR FASCIITIS

Yazarlar:

Toktamış Savaş | Sezgin B. Tekin | Edip Gönüllü | Çağrı Karabulut

Yayıncı:

Dokuz Eylul University

Ana Başlıklar:

Ortopedi

Dergi:

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi Vol.38 Issue 2, pp.73-82

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327227

pISSN:

2602-3148

Radiofrequency ablation method

VAS

calcaneal spur

plantar fasciitisradyofrekans ablasyon metodu

VAS

topuk dikeni

plantar fasiit

Sayı

Makale detayları

Yazarlar: Toktamış Savaş | Sezgin B. Tekin | Edip Gönüllü | Çağrı Karabulut

Yayıncı: Dokuz Eylul University

Ana Başlıklar: Ortopedi

Dergi: Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi Vol.38 Issue 2, pp.73-82

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001327227

pISSN: 2602-3148

Sayı

Yazarlar:

Toktamış Savaş | Sezgin B. Tekin | Edip Gönüllü | Çağrı Karabulut

Yayıncı:

Dokuz Eylul University

Ana Başlıklar:

Ortopedi

Dergi:

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi Vol.38 Issue 2, pp.73-82

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001327227

pISSN:

2602-3148