Results in 7 Cases of Neurectomy with a Transverse Plantar Approach for Primary Morton's Neuroma

Araujo Espinoza G.; Bazan Alvarez J.; Alvarado Zegarra A. · Techniques in Foot and Ankle Surgery (2022) · DOI: 10.1097/btf.0000000000000352

Resumen

Surgery is often performed for Morton's neuroma when conservative treatment is ineffective. This study aimed to describe the surgical results of Morton's neuroma. Six patients (7 feet) underwent neurectomy via a transverse plantar incision in the forefoot. Changes in perceived pain, function, and patient satisfaction were measured with a Visual Analog Scale, the American Orthopaedic Foot and Ankle Surgery Scale, and the Coughlin score, respectively. Six feet had neuromas in the third intermetatarsal space and 1 foot had neuromas in the third and second spaces. The mean preoperative and postoperative Visual Analog Scale scores were 7.14±0.69 and 1.86±0.69, respectively. The mean preoperative and postoperative American Orthopaedic Foot and Ankle Surgery scores were 69.71±6.73 and 94.86±3.93, respectively. Four patients were very satisfied, and 2 patients were just satisfied. The plantar surgical approach for the treatment of Morton's neuroma has few complications with good functional results and patient satisfaction in this case series. Level of Evidence: Diagnostic Level IV - retrospective case series. See Instructions for Authors for a complete description of levels of evidence.