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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Minimally invasive Morton's intermetatarsal neuroma decompression
Marek E Zelent1, Ronald M Kane, David J Neese
1Podiatry (51400), Mercy Hospital, 4050 Coon Rapids Blvd., Coon Rapids, MN 55303, USA. interossei@yahoo.com
Foot & Ankle International
|February 14, 2007
Summary
This study introduces a minimally invasive technique for Morton intermetatarsal neuroma decompression. The novel approach shows encouraging results, offering a simple, low-morbidity alternative for patients.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Neurosurgery
Background:
- Morton intermetatarsal neuroma presents a common cause of forefoot pain.
- Traditional surgical decompression often involves open procedures.
- An alternative, minimally invasive technique is explored.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel, minimally invasive decompression technique for Morton intermetatarsal neuroma.
- To assess the outcomes of using an instrument designed for carpal tunnel release in treating this foot condition.
Main Methods:
- Seventeen nerve decompressions were performed on 14 patients using a carpal tunnel release instrument.
- The procedure was performed on nine women and five men, with three patients having bilateral procedures.
- The mean follow-up period was 25.92 months.
Main Results:
- Eleven out of 14 patients (78.6%) experienced symptom resolution post-decompression.
- Two patients had symptom recurrence, with one requiring revision surgery.
- No wound healing or digital deformity complications were reported.
Conclusions:
- The presented technique is simple and associated with minimal postoperative morbidity.
- Results in this cohort are encouraging, suggesting a viable alternative for neuroma treatment.
- Further investigation in a larger patient group may be warranted.
