Efficacy of TOPAZ coblation-assisted percutaneous fasciotomy in chronic plantar fasciitis

A hospital-based, retrospective observational follow-up study in patients with a primary clinical diagnosis of recalcitrant PF, supported radiologically and underwent percutaneous plantar fasciotomy using a microdebrider TOPAZ coblation wand and had a minimum follow-up of 1 year. Outcome was evaluated using the Foot and Ankle Ability Measure (FAAM) Score, Numerical Rating Scale (NRS) RESULTS: Of the 18 patients included, 16 (88.9 %) were females. Thirteen (72.1 %) were aged 30-50 years. None had anatomical deformity. There was a significant reduction in pain levels from pre-operative NRS scores (mean 7.56) to NRS scores at 1 year (mean 2.83) (p < 0.001). Functional ability improved notably from a pre-operative FAAM score (mean 59.94) to a 1-year FAAM score (mean 91.33) (p < 0.001) CONCLUSION: Radiofrequency coblation using TOPAZ microdebrider wand is an effective intervention for chronic recalcitrant PF.