Surgery – Truss – Perineal
Patent
1992-04-17
1993-12-14
Apley, Richard J.
Surgery
Truss
Perineal
128898, A61B 100
Patent
active
052692906
ABSTRACT:
A new surgical technique, the Barrett-Day endoscopic plantar fasciotomy procedure, is used to relieve the symptoms of heel spur syndrome. The positioning of the plantar fascia ligament is determined, and the patient is prepared for surgery. A small, vertical incision is made in the medial side of the foot, and the adipose tissue is spread. A fascial elevator is inserted into the first incision to separate the plantar fascia from the surrounding tissue, creating a channel. A slotted canula and trocar is inserted into the channel, and a second incision is made on the lateral side of the foot, allowing the canula and trocar to substantially pierce the foot. The trocar is removed, and an endoscope is inserted into the canula through the medial portal. A cutting instrument is inserted into the lateral portal of the canula, and is used to release the plantar fascia from the heel bone. Once the plantar fascia has been released from the heel bone, the instruments are removed, and a bandage is placed around heel. The procedure allows the patient to immediately bear weight on the heel after the operation is complete.
REFERENCES:
patent: 4461281 (1984-07-01), Carson
patent: 4607621 (1986-08-01), Wheeler
patent: 4815464 (1989-03-01), Sanders
patent: 4819620 (1989-04-01), Okutsu
patent: 4946642 (1990-08-01), Watanabe
patent: 4962770 (1990-10-01), Agee et al.
patent: 5029573 (1991-07-01), Chow
Forman and Green, The Role of Intrinsic Musculature in the Formation of Inferior Calcaneal Exostoses, Clinics in Podiatric Medicine and Surgery, Apr., 1990.
Turlik, Seronegative Arthritis as a Cause of Heel Pain, Clinics in Podiatric Medicine and Surgery, Apr., 1990.
Baerg, Calcaneal Decompression for Heel Pain, Clinics in Podiatric Medicine and Surgery, Jan., 1991.
Dailey, Differential Diagnosis and Treatment of Heel Pain, Clinics in Podiatric Medicine and Surgery, Jan., 1991.
Jacoby and Wolfe, Surgical Management of Recalcitrant Heel Pain, Clinics in Podiatric Medicine and Surgery, Jan., 1991.
Baxter and Thigpen, Heel Pain--Operative Results, Foot & Ankle, 1984.
Lutter, Surgical Decisions in Athletes' Subcalcaneal Pain, The American Journal of Sports Medicine, 1986.
O'Brien and Martin, A Retrospective Analysis of Heel Pain, Journal of the American Podiatric Medical Association, Aug., 1985.
Furey, Plantar Fasciitis, The Journal of Bone and Joint Surgery, Jul., 1975.
Hoffman and Thul, Fractures of the Calcaneus Secondary to Heel Spur Surgery, Journal of the American Podiatric Medical Association, May, 1985.
Shmokler, Bravo, Lynch and Newman, A New Use of Instrumentation in Fluoroscopy Controlled Heel Spur Surgery, Journal of the American Podiatric Medical Association, Apr., 1988.
Onuba and Ireland, Plantar Fasciitis, Italian Journal of Orthopaedics and Traumatology, Dec., 1986.
Kenzora, The Painful Heel Syndrome: All Entrapment Neuropathy, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute, 1987.
LaMelle, Kisilewicz and Janis, Chronic Plantar Fascial Inflammation and Fibrosis, Clinics in Podiatric Medicine and Surgery, Apr., 1990.
Anderson and Foster, Operative Treatment of Subcalcaneal Pain, Foot & Ankle, Jun., 1989.
Ward and Clippiner, Proximal Medial Longitudinal Arch Incision for Plantar Fascia Release, Foot & Ankle, 1987.
Schepsis, Leach and Gorzyca, Plantar Fasciitis, Clinical Orthopaedics and Related Research, May, 1991.
Lester and Buchanan, Surgical Treatment of Plantar Fasciitis, Clinical Orthopaedics and Related Research, Jun., 1984.
Polisner, Early Ambulation After Minimal Incision Surgery for Calcaneal Spurs, Clinics in Podiatry, Jul., 1985.
Goulet, Role of Soft Orthosis in Treating Plantar Fasciitis, Physical Therapy, Apr., 1984.
Davidson and Copoloff, Neuromas of the Heel, Clinics in Podiatric Medicine and Surgery, Apr., 1990.
Beito, Krych and Harkless, Recalcitrant Heel Pain Traumatic Fibrosis versus Heel Neuroma, Journal of the American Podiatric Medical Association, Jul., 1989.
Meltzer, A Rational Approach to the Management of Heel Pain, Journal of the American Podiatric Medical Association, Feb., 1989.
Jay, Davis, Schoenhaus and Beckett, Calcaneal Decompression for Chronic Heel Pain, Journal of the American Podiatric Medical Association, Oct., 1985.
Contompasis, The Management of Heel Pain in the Athlete, Clinics in Podiatric Medicine and Surgery, Oct., 1986.
Amis, Jennings, Graham and Graham, Painful Heel Syndrome: Radiographic and Treatment Assessment, Foot & Ankle, 1988.
Correspondence--Treatable Causes of a Painful Heel.
Hill and Cutting, Heel Pain and Body Weight, Foot & Ankle, 1989.
Intenzo, Wapner, Park and Kim, Evaluation of Plantar Fasciitis by Three-phase Bone Scintigraphy, Clinical Nuclear Medicine, May, 1991.
Berkowitz, Kier and Rudicel, Plantar Fasciitis: MR Imaging, Radiology, 1991.
Sebes, The Significance of Calcaneal Spurs in Rheumatic Diseases, Arthritis and Rheumatism, Mar., 1989.
Lapidus and Guidotti, Painful Heel: Report of 323 Patients with 364 Painful Heels.
Bergmann, History and Mechanical Control of Heel Spur Pain, Clinics in Podiatric Medicine and Surgery, Apr., 1990.
Schwartz, Inferior Heel Spur Surgery, Clinics in Podiatric Medicine and Surgery, Apr. 1990.
Hepford, Minimal Incision Surgical Approach to Mechanical Heel Pain, Clinics in Podiatric Medicine and Surgery, Jan., 1991.
Snider, Clancy and McBeath, Plantar Fascia Release for Chronic Plantar Fasciitis in Runners, The American Journal of Sports Medicine, 1983.
Leach, Seavey and Salter, Results of Surgery in Athletes with Plantar Fasciitis, Foot & Ankle, 1986.
Barrett Stephen L.
Day Stephen V.
Apley Richard J.
Jalbert Karen A.
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