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

Show simple item record Nery, Caio [UNIFESP] Raduan, Fernando Del Buono, Angelo Asaumi, Inacio Diogo Maffulli, Nicola 2016-01-24T14:27:06Z 2016-01-24T14:27:06Z 2012-04-04
dc.identifier.citation Journal of Bone and Joint Surgery-american Volume. Needham: Journal Bone Joint Surgery Inc, v. 94A, n. 7, p. 654-658, 2012.
dc.identifier.issn 0021-9355
dc.description.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. en
dc.format.extent 654-658
dc.language.iso eng
dc.publisher Journal Bone Joint Surgery Inc
dc.relation.ispartof Journal of Bone and Joint Surgery-american Volume
dc.rights Acesso restrito
dc.title Plantar Approach for Excision of a Morton Neuroma A Long-Term Follow-up Study en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Queen Mary Univ London
dc.description.affiliation Universidade Federal de São Paulo, Dept Orthopaed Surg, BR-04039032 São Paulo, Brazil
dc.description.affiliation Queen Mary Univ London, Ctr Sports & Exercise Med, London, England
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Orthopaed Surg, BR-04039032 São Paulo, Brazil
dc.identifier.doi 10.2106/JBJS.K.00122
dc.description.source Web of Science
dc.identifier.wos WOS:000302272000010


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