Regenerative surgery of the complications with Morton's neuroma surgery: use of platelet rich plasma and hyaluronic acid.
Morton's neuroma is an entrapment neuropathy of the plantar digital nerve. We treated five patients with wound dehiscence and tendon exposure, after Morton's neuroma surgery excision using a dorsal approach. In this article we describe our technique. From July 2010 to August 2011, at the Department of Plastic and Reconstructive Surgery, University of Rome 'Tor Vergata', five patients (four females and one male), with ages ranging between 35 and 52 years, were treated with a combination of PRP (platelet rich plasma) and HA (hyaluronic acid). Thirty days following surgery, all patients showed a complete healing of the wound. The use of this technique for the treatment of postoperative wound dehiscence and tendon exposure has proven as satisfactory.
Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Rome, Italy. bdeangelisdoc@gmail.com
Barbara
B
De Angelis
Lucilla
L
Lucarini
Fabrizio
F
Orlandi
Annarita
A
Agovino
Alessia
A
Migner
Valerio
V
Cervelli
Valentina
V
Izzo
Cristiano
C
Curcio
D000328:Adult; D015331:Cohort Studies; D019299:Decompression, Surgical / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005534:Foot Diseases / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000494:pharmacology*; D015552:Injections, Intralesional; D007558:Italy; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000601:surgery; D009463:Neuroma / Q000175:diagnosis / Q000601:surgery*; D053657:Platelet-Rich Plasma; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods; D013529:Surgical Wound Dehiscence / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D006820:Hyaluronic Acid