Plantar fasciitis: a comparison of ultrasound-guided fasciotomy with or without amniotic membrane allograft injection

Regen Med. 2022 Dec;17(12):931-940. doi: 10.2217/rme-2022-0094. Epub 2022 Oct 12.

Abstract

Aim: The purpose of this study was to evaluate the clinical response to augmenting an ultrasound-guided percutaneous plantar fasciotomy (UGPF) with an amniotic membrane (AM) allograft injection. Design: Retrospective, single-center, matched, case-controlled study. Methods: Patients underwent either an UGPF (n = 15) or a combined UGPF and AM injection (n = 16). Results: The UGPF plus AM group demonstrated a significant reduction in pain (p = 0.02) from baseline at the short-term follow-up, but there was no significant difference in pain or patient satisfaction between groups at the 52-week follow-up. Conclusion: Both groups demonstrated a significant reduction in pain and high level of patient satisfaction, but the combination of UGPF with an AM injection may provide a greater reduction in pain earlier in the post-operative period.

Keywords: TENEXTM; amniotic membrane allograft; heel pain; percutaneous needle tenotomy; plantar fasciitis.

MeSH terms

  • Allografts
  • Amnion
  • Fasciitis, Plantar* / surgery
  • Fasciotomy
  • Humans
  • Pain
  • Retrospective Studies
  • Treatment Outcome
  • Ultrasonography, Interventional