• J Ultrasound Med · Jun 2016

    Percutaneous Ultrasound-Guided TOPAZ Radiofrequency Coblation: A Novel Coaxial Technique for the Treatment of Recalcitrant Plantar Fasciitis-Our Experience.

    • Amit Shah, Alistair J Best, and Winston J Rennie.
    • Department of Musculoskeletal Radiology, University Hospitals of Leicester National Health Service Trust, Leicester Royal Infirmary, Leicester, England doctigs@gmail.com.
    • J Ultrasound Med. 2016 Jun 1; 35 (6): 1325-31.

    AbstractVarious therapeutic options are available for treatment of recalcitrant plantar fasciitis. Studies using TOPAZ coblation (ArthroCare, Sunnyvale, CA) have had good early results. The current coblation technique involves a surgical incision or breach of the highly specialized plantar fat pad, which can be associated with risks. We describe a novel technique of ultrasound-guided percutaneous coblation with a lateral heel approach. Advantages include precise targeting of the plantar fascia by direct dynamic visualization of the coblation tip, a true percutaneous approach with a needle skin puncture (<5 mm), and preservation of the plantar fat pad by using a lateral heel approach. © 2016 by the American Institute of Ultrasound in Medicine.

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