What is the primary purpose of the Tachdjian plantar fasciotomy?

What is the primary purpose of the Tachdjian plantar fasciotomy?

• A. Release the long plantar ligament
• B. Remove the entire plantar fascia
• C. Heal muscle tears
• D. Stabilize the calcaneus

Answer: (B)

The Tachdjian plantar fasciotomy primarily aims to alleviate chronic plantar fasciitis by surgically removing a section of the plantar fascia. This procedure is intended for patients who have not responded to conservative treatments after an extended period, typically around six months. By excising a portion of the plantar fascia, pressure on the heel and surrounding structures is reduced, which can lead to significant relief of pain and improvement in function. In cases of chronic plantar fasciitis, the secretion of inflammatory mediators and the presence of degenerative changes in the fascia can contribute to persistent symptoms. The removal of part of the fascia aims to address these issues and promote healing by relieving tension and irritation. Other options, such as releasing the long plantar ligament or stabilizing the calcaneus, do not specifically target the underlying problem of plantar fasciitis in the way that a fasciotomy does.

The Tachdjian plantar fasciotomy primarily aims to alleviate chronic plantar fasciitis by surgically removing a section of the plantar fascia. This procedure is intended for patients who have not responded to conservative treatments after an extended period, typically around six months. By excising a portion of the plantar fascia, pressure on the heel and surrounding structures is reduced, which can lead to significant relief of pain and improvement in function.

In cases of chronic plantar fasciitis, the secretion of inflammatory mediators and the presence of degenerative changes in the fascia can contribute to persistent symptoms. The removal of part of the fascia aims to address these issues and promote healing by relieving tension and irritation. Other options, such as releasing the long plantar ligament or stabilizing the calcaneus, do not specifically target the underlying problem of plantar fasciitis in the way that a fasciotomy does.