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Fasciotomy in the limbs is usually performed by a surgeon under general or regional anesthesia. An incision is made in the skin, and a small area of fascia is removed where it will best relieve pressure. Plantar fasciotomy is an endoscopic procedure. The physician makes two small incisions on either side of the heel.
A 2012 study found 76% of people who underwent endoscopic plantar fasciotomy had complete relief of their symptoms and had few complications (level IV evidence). [8] Heel spur removal during plantar fasciotomy does not appear to improve the surgical outcome. [30] Plantar heel pain may occur for multiple reasons.
A study showed the fasciotomy rate for acute compartment syndrome ranges from 2% to 24%. [19] The key factor in acute compartment syndrome is the time to diagnosis and fasciotomy. [12] A missed or late diagnosis may require limb amputation to survive. [63] [13] After a fasciotomy, some symptoms may be permanent. [13]
A plantar fascial rupture, is a painful tear in the plantar fascia. The plantar fascia is a connective tissue that spans across the bottom of the foot. [1] The condition plantar fasciitis may increase the likelihood of rupture. [2] A plantar fascial rupture may be mistaken for plantar fasciitis or even a calcaneal fracture.
The field of minimally invasive surgery has spawned another set of words, such as arthroscopic or laparoscopic surgery. These take the same form as above; an arthroscope is a device which allows the inside of the joint to be seen.
The plantar fascia also has an important role in dynamic function during gait. It was found the plantar fascia continuously elongated during the contact phase of gait. It went through rapid elongation before and immediately after mid-stance, reaching a maximum of 9% to 12% elongation between mid-stance and toe-off. [5]
Endoscopic nerve decompression for peripheral nerves An endoscopy is a simple procedure that allows a doctor to look inside human bodies using an instrument called an endoscope. A cutting tool can be attached to the end of the endoscope, and the apparatus can then be used to perform minor procedures such as tissue biopsies, banding of ...
The TESSYS method (transforaminal endoscopic surgical system) is a minimally-invasive, endoscopic spinal procedure for the treatment of a herniated disc.It was a further development of the YESS method by the Dutch Dr Thomas Hoogland in the Alpha Klinik in Munich in 1989 and was first called THESSYS (Thomas Hoogland EndoScopic SYStem).