{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T22:11:25Z","timestamp":1779142285217,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Endoscopic plantar fascia release (EPFR) is a common surgical option for recalcitrant plantar fasciitis. Although calcaneal spur excision (CSE) is frequently performed as an adjunct, its added clinical benefit remains unclear. This study compared outcomes of EPFR alone vs EPFR combined with CSE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included 23 patients (30 feet) who underwent endoscopic surgery for plantar fasciitis between 2017 and 2024. Patients were divided into 2 groups according to surgical procedure performed: EPFR (n\u2009=\u200922 feet) and EPFR+CSE (n\u2009=\u20098 feet). Pain and functional outcomes were assessed pre- and postoperatively using the visual analog scale (VAS), first-step VAS, American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle-hindfoot score, and Foot Function Index (FFI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both procedures were associated with significant postoperative improvement in pain and function (all\u2009\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Mean VAS scores improved from 6.2 to 1.5 in the EPFR group and from 6.4 to 1.2 in the EPFR+CSE group. AOFAS scores increased from 66.4 to 95.3 and from 64.5 to 94.5, respectively. Postoperative FFI values decreased from approximately 107 to 30 in both groups. However, comparison between groups revealed no statistically significant differences for any parameter (VAS\u2009\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.24; AOFAS\u2009\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.23; FFI\u2009\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.61). No recurrence or complications were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>EPFR, with or without CSE, was associated with clinical and functional improvement. With the numbers available, no additional benefit of CSE could be detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261427476","type":"journal-article","created":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T11:04:27Z","timestamp":1773572667000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Endoscopic Plantar Fascia Release With and Without Calcaneal Spur Excision for Recalcitrant Plantar Fasciitis"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5059-0593","authenticated-orcid":false,"given":"Edip","family":"Yilmaz","sequence":"first","affiliation":[{"name":"Acibadem Altunizade Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5615-7087","authenticated-orcid":false,"given":"Muge","family":"Kirac","sequence":"additional","affiliation":[{"name":"Acibadem Mehmet Ali Aydinlar University, Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5109-1924","authenticated-orcid":false,"given":"Tahir Koray","family":"Yozgatli","sequence":"additional","affiliation":[{"name":"Acibadem Mehmet Ali Aydinlar University, Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berhan","family":"Bayram","sequence":"additional","affiliation":[{"name":"Acibadem Altunizade Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tekin Kerem","family":"Ulku","sequence":"additional","affiliation":[{"name":"Acibadem Altunizade Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey"},{"name":"Acibadem Mehmet Ali Aydinlar University, Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2537-0660","authenticated-orcid":false,"given":"Baris","family":"Kocaoglu","sequence":"additional","affiliation":[{"name":"Acibadem Altunizade Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey"},{"name":"Acibadem Mehmet Ali Aydinlar University, Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110078600700305"},{"issue":"11","key":"e_1_3_2_3_2","article-title":"Comparison of isolated calcaneal spur excision and plantar fasciotomy in addition to spur excision in patients with plantar heel pain accompanied by calcaneal spur","volume":"14","author":"Saylik M","year":"2022","unstructured":"Saylik M, Fidan F, Lap\u00e7in O. Comparison of isolated calcaneal spur excision and plantar fasciotomy in addition to spur excision in patients with plantar heel pain accompanied by calcaneal spur. Cureus. 2022;14(11):e31768.","journal-title":"Cureus"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fastrc.2022.100261"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqu177"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30963-7"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200636070-00004"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114221108104"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12607"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-021-00507-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700210"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/jfa2.70021"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-3-7"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602701111"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-6-5"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.0303"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.01.053"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-025-06499-z"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402501207"}],"container-title":["Foot &amp; Ankle Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261427476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24730114261427476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261427476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:26:39Z","timestamp":1777411599000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24730114261427476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/24730114261427476"],"URL":"https:\/\/doi.org\/10.1177\/24730114261427476","relation":{},"ISSN":["2473-0114","2473-0114"],"issn-type":[{"value":"2473-0114","type":"print"},{"value":"2473-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"24730114261427476"}}