Page 4 - Safeview TOTAL with Video - Hensler Surgical 2018
P. 4

Plantar Fascia Release






           [1]                                                    [2]

           • Palpate the medial                                   • Insert the elevator
              plantar calcaneal                                      inferior to the plantar
              tubercle and make                                      fascia ligament.
              an incision 1-3mm                                   • A “washboard effect”
              distal and approxi-                                    will be felt as the
              mately 17mm above                                      elevator is moved
              the plantar heel                                       along the inferior
              fat pad.                                               plane of the plantar
                                                                     fascia ligament.






           [3]                                                    [4]
           • Optional:                                            • Dilate the inferior
              Rasp may be used                                       plane of the plantar
              to clear away                                          fascia ligament using
              synovial tissue.                                       the sequential dilators.
                                                                  • Insertion depth varies
                                                                     based on patient size
                                                                     and body morphology.








           [5]                                                    [6]

           • Insert the SafeView ™                                • Insert the forward
              cannula medially and                                   cutting knife through
              palpate to the lateral                                 the hub of the cannula.
              edge of the plantar                                 • Retract the skin
              fascia ligament.                                       proximally and engage
           • Orient the SafeView ™                                   the medial edge of the
              cannula to allow the                                   plantar fascia ligament.
              knife blade to cut                                  • Apply enough pressure
              superiorly while                                       to cut through the
              visualizing the protected                              fascial bands while
              fat pad below.  Insert a                               not violating the deeper
              4mm 30° standard                                       intrinsic musculature
              arthroscope, and                                       below.
              visualize the ligament.

           [7]                                                    [8]
           • Divide the ligament                                  • Skin closure is
              under direct                                           achieved in the usual
              visualization.                                         fashion. Apply a soft,
                                                                     mildly compressive
                                                                     dressing.
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