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PLANTAR FASCIAL APPROACH

USES

This approach is used for release of the plantar fascia.

ADVANTAGES

This approach comes directly down on the plantar fascia. It comes from a direction that does not put the neurovascular structures at risk.

DISADVANTAGES

This is a single-use approach.

STRUCTURES AT RISK

When doing the transection of the plantar fascia, if you cut too far medially, you risk cutting the plantar nerves and arteries. The transection should be limited to the plantar fascia only.

TECHNIQUE

The key to this technique is placement of the skin incision just distal to the weight-bearing area of the heel fat pad. This puts it in the proximal end of the arch, which is safe from a walking standpoint.

Related posts:

Volar Approach to the Basal Joint of the Thumb (for Bennett’s Fracture) Anterior Approach to the Distal Thigh and Femur Anterolateral Approach to the Tibia Deltopectoral Approach Posterior Approach Anterior Approach to the Cervical Spine

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