Minimally invasive ultrasound-guided percutaneous plantar fasciotomy on chronic plantar fasciitis: A retrospective analysis

Foot Ankle Surg. 2025 Dec;31(8):737-741. doi: 10.1016/j.fas.2025.05.003. Epub 2025 May 15.

Abstract

Background: Plantar fasciitis is one of the most common causes of foot pain among the population. This study aimed to review outcomes in patients undergoing Minimally invasive surgery (MIS) ultrasound-guided percutaneous plantar fasciotomy for the treatment of chronic plantar fasciitis.

Methods: A multicenter retrospective chart review of patients undergoing MIS using the Tenex device from January 2020 to December 2022. The main data points collected were Patient-Reported Outcomes Measurement Information System (PROMIS), follow-up times, revision surgery, and complications.

Results: 56 patients underwent 60 surgeries. The average age and BMI were 48.6 years (19-80), and 33.2 kg/m2 (19.7-58.6). The average follow-up was 27 months (13.3-48.6). The average improvement in pain, physical function, and mobility PROMIS scores were 5.2 (P < 0.01), 3.6 (P = 0.01), and 3.1 (P = 0.01).

Conclusion: MIS ultrasound-guided plantar fasciotomy appears to be a reliable surgical treatment option for chronic plantar fasciitis with high patient satisfaction and safety profile.

Level of evidence: IV.

Keywords: Minimally invasive surgery; Percutaneous fasciotomy; Plantar fasciitis; Tenex device.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • Fasciitis, Plantar* / surgery
  • Fasciotomy* / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures* / methods
  • Patient Reported Outcome Measures
  • Retrospective Studies
  • Treatment Outcome
  • Ultrasonography, Interventional* / methods
  • Young Adult