{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T18:17:26Z","timestamp":1782325046634,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The most common causes of plantar and heel pain are plantar fasciitis and calcaneal spurs, and they often co\u2010exist. Surgery is a recognized treatment for refractory plantar fasciitis. However, few studies have proposed treatment options for patients with metatarsophalangeal fasciitis with bone spurs. Accordingly, this study's purpose was to propose a four\u2010step surgical regimen, and to improve the surgical outcome of plantar fasciitis with osteophytes and to establish a procedure for surgical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of 45 patients suffering from plantar fasciitis with bone spurs from 2020 to 2023. All patients underwent a four\u2010step procedure, including plantar fascia release, calcaneal spur grinding, inflammatory tissue removal, and calcaneal burr decompression. The imaging parameters and functional scores were recorded before and after the operation. The objective evaluation included the measurement of calcaneal spur length on radiographs. Clinical evaluation included the American Orthopaedic Foot and Ankle Society (AOFAS), the Visual Analog Scale (VAS), and the Foot and Ankle Outcome Scale (FAOS). Measurement data that conformed to normal distribution were expressed as (<jats:italic>x<\/jats:italic><jats:sup>2<\/jats:sup>\u2009\u00b1\u2009<jats:italic>s<\/jats:italic>), and pre\u2010and postoperative AOFAS, FAOS, and VAS scores were compared using repeated\u2010measures ANOVA, and preoperative and postoperative spur lengths were compared using paired <jats:italic>t<\/jats:italic>\u2010tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 45 patients were followed up for 3 to 30\u2009months, (17.72\u2009\u00b1\u20098.53) months, at final follow\u2010up, the patient's AOFAS score improved from preoperative (74.93\u2009\u00b1\u20095.56) to (94.78\u2009\u00b1\u20093.98), FAOS score increased from preoperative (76.42\u2009\u00b1\u20093.37) to (96.16\u2009\u00b1\u20092.74), the VAS score decreased from (3.18\u2009\u00b1\u20090.54) to (1.07\u2009\u00b1\u20091.20) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), the length of spur decreased from (0.72\u2009\u00b1\u20091.81) cm to (0.23\u2009\u00b1\u20091.19) cm, and there were significant differences before and after operation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The four\u2010step surgical regimen is an appropriate and effective surgical procedure to treat plantar fasciitis with bone spurs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14059","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T05:54:41Z","timestamp":1714629281000},"page":"1374-1380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical Study of a Four\u2010Step Program for the Treatment of Plantar Fasciitis with Bone Spurs"],"prefix":"10.1111","volume":"16","author":[{"given":"Lu","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Traditional Chinese and Western Medicine Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyu","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyi","family":"Li","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihui","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Traditional Chinese and Western Medicine Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital Southwest Medical University  Luzhou China"},{"name":"Center for Orthopedic Diseases Research, The Affiliated 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