Patient-Perceived Recovery and Outcomes after Bipolar Radiofrequency Controlled Ablation with Platelet-Rich Plasma Injection for Refractory Plantar Fasciosis |
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| Institution: | 1. Resident, Westside Regional Medical Center, Plantation, FL;2. Board Member, Foot and Ankle Research Foundation of South Florida Inc., Plantation, FL;3. Residency Director, Westside Regional Medical Center, Plantation, FL;4. Director, Statistical Consulting Center, Nova Southeastern University, Ft. Lauderdale, FL;1. Associate Professor, Faculty of Health Care, Teikyo Heisei University, Tokyo, Japan;2. Lecturer, Department of Anatomy, Shinshu University School of Medicine, Nagano, Japan;3. Professor, Department of Anatomy, Shinshu University School of Medicine, Nagano, Japan;4. Technological Assistant, Department of Anatomy, Shinshu University School of Medicine, Nagano, Japan;5. Orthopedic Surgeon, Toyohashi Esaki Orthopedic Hospital, Aichi, Japan;1. Orthopedic Surgeon, Vreden Russian Research Institute of Traumatology and Orthopedics, Ministry of Health of Russia, St. Petersburg, Russia;2. Orthopedic Surgeon, Department of General Surgery, St. Petersburg State University, St. Petersburg, Russia;3. Orthopedic Surgeon, Humanitas Clinical and Research Hospital, Rozzano (Milano), Italy;4. Orthopedic Surgeon, International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital, Baltimore, Maryland, USA;1. Assistant Professor, Division of Foot/Ankle Surgery and Biomechanics, Kent State University College of Podiatric Medicine, Independence, OH;2. Chief of Podiatry, Akron General Medical Center, Akron, OH;3. Resident, Grant Medical Center, Columbus, OH;4. Orange County Foot and Ankle Surgeon, Irvine, CA;1. Orthopaedic Surgeon, Department of Orthopaedic Surgery, Nara Medical University, Kashiharashi, Nara, Japan;2. Vice President, Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Narashi, Nara, Japan;3. Orthopaedic Surgeon, Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Narashi, Nara, Japan;4. Director, Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Narashi, Nara, Japan;5. Professor, Department of Orthopaedic Surgery, Nara Medical University, Kashiharashi, Nara, Japan;1. Fellowship Director, Florida Orthopedic Foot and Ankle Center, Sarasota, FL;2. Fellow, Florida Orthopedic Foot and Ankle Center, Sarasota, FL;3. Fellow, Longview Orthopedic Clinic Association, Longview, TX;1. Deputy Director, Medical Devices and Technology Centre (MEDITEC), Institute of Human Centered Engineering (iHumEn), Universiti Teknologi Malaysia, Johor, Malaysia;2. Senior Lecturer, British Malaysian Institute, Universiti Kuala Lumpur, Gombak, Selangor;3. Senior Lecturer, Centre for Intelligent Signal & Imaging Research (CISIR), Electric and Electronics Engineering Department, Faculty of Engineering, Universiti Teknologi PETRONAS, Perak, Malaysia;4. Senior Lecturer, School of Biomedical Engineering and Health Sciences, Faculty of Engineering, Universiti Teknologi Malaysia, Johor, Malaysia;5. Professor, Sports Innovation and Technology Centre (SITC), Institute of Human Centered Engineering (iHumEn), Universiti Teknologi Malaysia, Johor, Malaysia |
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| Abstract: | Previous studies have documented persistent postoperative symptoms and limitations following plantar fasciotomy using patient-reported outcome measures (PROMs). The incomplete recovery (resolution) has been theorized to occur from altered foot biomechanics, and alternative treatment methods have continued to gained popularity for addressing refractory plantar fasciosis (RPF). The purpose of the present study was to assess patient-perceived recovery (PPR) and outcomes after bipolar radiofrequency controlled ablation (BRC) with platelet-rich plasma (PRP) injection for RPF. From July 2006 to July 2016, 43 patients (52 procedures) were enrolled. PROMS were prospectively obtained and compared between patients who perceived themselves as recovered without/residual deficits (recovered–resolved, recovered–not resolved) and those not recovered. Holistic satisfaction, procedure-specific satisfaction, complications, reoperations, and failure were recorded. Overall, 67.4% perceived themselves as recovered–resolved, 23.3% as recovered–not resolved, and 9.3% as not recovered. Holistic and procedure specific satisfaction were high (90.7% and 88.4%), with a mean modified Foot Function Index of 11.65, visual analog scale for pain 1.5, and failure rate of 9.3% at a median of 53 months (interquartile range 33 to 83). In the present study, outcomes with BRC with PRP injection compared favorably to the long-term outcomes reported for partial and complete plantar fasciotomy. Although 14 patients (32.6%) continued to have some postoperative symptoms, 71% indicated that they were satisfied with their symptoms, and 64% would undergo a similar procedure again. Therefore, despite the study's shortcomings, a patient's ability to cope appears to have a role in recovery from RPF. |
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