Recurrent pain following interdigital neurectomy--a plantar approach.
Thirty patients with 39 recurrent interdigital neuromas were evaluated to determine the success of subsequent surgery. Two surgical techniques were used to resect the nerve over a 2.5-year period and their results were compared. One consisted of exposure through the previous dorsal incision and the other of exposure through a transverse plantar incision proximal to the metatarsal heads. Overall results revealed significant improvement for greater than 80% of patients after their final operation. Less than 50% gained complete relief, however, and 58% experienced persistent discomfort in certain types of shoes. The plantar approach offers a simplified, less traumatic exposure of the nerve in a more proximal location. No healing problems were encountered with the proximal plantar incision.
Beskin
J L
JL
University of Texas Medical School Houston 77225.
Baxter
D E
DE
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005534:Foot Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009463:Neuroma / Q000601:surgery*; D010149:Postoperative Pain; D012008:Recurrence; D014034:Toes / Q000601:surgery