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

Rodrigo Encinas; Sarah Hall; Chase Gauthier; Anthony Cantrell; Yuqing Zhang; J Benjamin Jackson 3rd; Daniel Scott; Christopher Gross; Tyler Gonzalez

doi:10.1016/j.fas.2025.05.003

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

Foot Ankle Surg. 2025 May 15:S1268-7731(25)00122-5. doi: 10.1016/j.fas.2025.05.003. Online ahead of print.

Authors

Rodrigo Encinas¹, Sarah Hall², Chase Gauthier³, Anthony Cantrell⁴, Yuqing Zhang⁵, J Benjamin Jackson 3rd⁶, Daniel Scott⁷, Christopher Gross⁸, Tyler Gonzalez⁹

Affiliations

¹ Orlando Health Jewett Orthopaedic Institute Department of Orthopedic Surgery, 52 W Underwood St, Orlando, FL 32806, USA. Electronic address: rodencinas94@gmail.com.
² Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: sarahrose.hall@uscmed.sc.edu.
³ Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: chase.gauthier@prismahealth.org.
⁴ Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: Anthony.cantrell@prismahealth.org.
⁵ Medical University of South Carolina, Department of Orthopaedic Surgery, 96 Jonathon Lucas St, Charleston, SC 29425, USA. Electronic address: yaz203@musc.edu.
⁶ Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: jbenjackson@gmail.com.
⁷ Medical University of South Carolina, Department of Orthopaedic Surgery, 96 Jonathon Lucas St, Charleston, SC 29425, USA. Electronic address: scotdani@musc.edu.
⁸ Medical University of South Carolina, Department of Orthopaedic Surgery, 96 Jonathon Lucas St, Charleston, SC 29425, USA. Electronic address: grossc@musc.edu.
⁹ Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: tyleragonzalezmed@gmail.com.

PMID: 40399170
DOI: 10.1016/j.fas.2025.05.003

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.