Centrocentral anastomosis with autologous nerve graft treatment of foot and ankle neuromas.
Painful neuromatas in the foot and around the ankle can be difficult to treat. Five patients of clinically and histologically proven neuromas underwent centrocentral union with autologous transplantation. Three patients had previous toe amputations involving multiple operations. One patient had failed multiple operative treatments for Morton's neuroma in his 3rd web space. One patient had a neuroma in his superficial peroneal nerve caused by a gun shot wound. All patients but one showed definitive subjective and objective improvement after centrocentral union with the interposed autologous nerve graft. The patient with "recurrent" Morton's neuroma had the least improvement. This technique can be recommended as an alternative for the prevention of painful stump neuromata.
Lidor
C
C
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Hall
R L
RL
Nunley
J A
JA
D000328:Adult; D000368:Aged; D000672:Amputation Stumps; D000714:Anastomosis, Surgical; D000842:Ankle; D005260:Female; D005534:Foot Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D009463:Neuroma / Q000601:surgery*; D010525:Peripheral Nerves / Q000601:surgery* / Q000637:transplantation*; D010524:Peripheral Nervous System Neoplasms / Q000601:surgery*