Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report

Chien Ming Chin, Huan Ming Tang, Kai Chiang Yang, Ing Ho Chen, Chen Chie Wang

Research output: Contribution to journalArticlepeer-review

Abstract

Plantar fasciitis is a common cause of heel pain, and the disorder is generally self-limiting after adequate conservative treatment. When conservative treatment is unsuccessful, surgical release is an effective treatment option. Here we report a case of iatrogenic plantar fascia rupture after surgical release for treatment of recalcitrant plantar fasciitis. Preoperative MRI revealed a 4.2 cm gap between the distal fascia stump and the calcaneal tuberosity in the sagittal view at 8 months post-injury. To circumvent the possibility of rupture site retear or poor tissue healing by direct repair, we used tendon allografting for the reconstruction of the chronic plantar fascia rupture. The patient gradually recovered after the surgery. Complications of plantar fascia rupture after surgical release is a potential risk but rarely observed. Chronic plantar fascia rupture with medial arch collapse is difficult to treat. We used a tendon allograft to reconstruct the plantar fascia, restoring its function and mechanical strength. After 5 years of follow-up, no complications were reported, and magnetic resonance imaging indicated the reconstructed plantar fascia tissue to be in good condition.

Original languageEnglish
Article number1075
JournalMedicina (Lithuania)
Volume58
Issue number8
DOIs
Publication statusPublished - Aug 2022

Keywords

  • chronic plantar fascia rupture
  • Pulvertaft
  • tendon allograft

ASJC Scopus subject areas

  • General Medicine

Fingerprint

Dive into the research topics of 'Surgical Reconstruction with Tendon Allografting Following Iatrogenic Rupture of the Plantar Fascia: A Case Report'. Together they form a unique fingerprint.

Cite this