Related Experiment Videos
Failed tarsal tunnel syndrome surgery.
Steven M Raikin1, John M Minnich
1Department of Orthopaedic Surgery, Jefferson Medical College, 925 Chestnut Street, Philadelphia, PA 19107, USA. steven.raikin@mail.tju.edu
Foot and Ankle Clinics
|May 23, 2003
Summary
Preventing failed tarsal tunnel syndrome surgery is crucial, as revision outcomes are poor. Conservative treatments are recommended first for failures, followed by surgery only if necessary.
Area of Science:
- Orthopedics
- Neurosurgery
- Podiatry
Background:
- Tarsal tunnel syndrome (TTS) surgery can fail, leading to poor outcomes.
- Revision surgeries for failed TTS have significantly worse results compared to primary procedures.
Purpose of the Study:
- To emphasize the importance of preventing TTS surgery failure.
- To outline management strategies for failed TTS cases.
Main Methods:
- Review of outcomes for primary versus revision TTS surgeries.
- Discussion of conservative and surgical treatment options for failed TTS.
Main Results:
- Revision procedures for failed TTS yield inferior outcomes compared to primary surgeries.
- Conservative measures should be the initial approach for managing failed TTS.
Conclusions:
- Preventing surgical failure in tarsal tunnel syndrome is paramount.
- Adequate surgical release and addressing associated pathologies are essential for successful primary surgery.
- For refractory cases, conservative management should precede revision surgery, with considerations for containment procedures or peripheral nerve stimulation (PNS).