Plantar Approach for Excision of a Morton Neuroma A Long-Term Follow-up Study

Plantar Approach for Excision of a Morton Neuroma A Long-Term Follow-up Study

Author Nery, Caio Autor UNIFESP Google Scholar
Raduan, Fernando Google Scholar
Del Buono, Angelo Google Scholar
Asaumi, Inacio Diogo Google Scholar
Maffulli, Nicola Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Queen Mary Univ London
Abstract Background: When nonsurgical treatment of a Morton neuroma is unsuccessful, neurectomy is indicated. the purpose of the present retrospective study was to evaluate the long-term outcomes, complications, and adverse events following a distal plantar transverse incision for the excision of an intermetatarsal neuroma.Methods: We conducted a retrospective review of 168 consecutive patients who underwent surgical excision of a Morton neuroma that had been unresponsive to nonsurgical treatment. the clinical diagnosis was confirmed by means of magnetic resonance imaging and histological analysis. All patients underwent excision of the neuroma through a distal transverse plantar approach; concomitant foot and ankle disorders were also treated. Postoperatively, a three-grade patient satisfaction scale was administered to assess the results of the procedure and a clinical examination was performed for all patients.Results: One hundred and sixty patients (204 feet, 227 neuromas) were assessed at a median of 7.1 +/- 3.9 years (range, one to twenty-one years) postoperatively. A good result was reported for 143 patients (89.4%); a fair result, for eleven (6.9%); and a poor result, for six (3.8%). the eleven patients with a fair result reported scar-related symptoms such as skin hardening, loss of sensation at the incision site, discomfort wearing shoes with high heels, and local paresthesias with no recurrence of the neuroma. the six patients with a poor result reported pain and paresthesias, and the recurrence of a neuroma was confirmed at the time of reoperation.Conclusions: Producing a marked reduction in pain and high overall patient satisfaction, a distal transverse plantar incision is comparable with other surgical approaches for the surgical treatment of a Morton neuroma.
Language English
Date 2012-04-04
Published in Journal of Bone and Joint Surgery-american Volume. Needham: Journal Bone Joint Surgery Inc, v. 94A, n. 7, p. 654-658, 2012.
ISSN 0021-9355 (Sherpa/Romeo, impact factor)
Publisher Journal Bone Joint Surgery Inc
Extent 654-658
Origin http://dx.doi.org/10.2106/JBJS.K.00122
Access rights Closed access
Type Article
Web of Science ID WOS:000302272000010
URI http://repositorio.unifesp.br/handle/11600/34793

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