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Surgical treatment for primary interdigital neuroma
D A Friscia1, D E Strom, J W Parr
1Section of Orthopedic Surgery, Mayo Clinic Scottsdale, Scottsdale, Ariz 85259.
Orthopedics
|June 1, 1991
Summary
Surgical treatment for interdigital neuroma yielded mixed patient satisfaction, with satisfaction linked to neuroma size. Bilateral surgeries were linked to higher dissatisfaction rates in this dorsal web-splitting incision study.
Area of Science:
- Podiatric Surgery
- Orthopedic Surgery
- Neurosurgery
Background:
- Interdigital neuroma is a common cause of forefoot pain.
- Surgical intervention, typically via dorsal web-splitting incision, is a treatment option.
- Patient outcomes and satisfaction levels require further investigation.
Purpose of the Study:
- To evaluate patient satisfaction after surgical treatment for primary interdigital neuroma.
- To identify factors influencing patient satisfaction, including neuroma size and procedure laterality.
Main Methods:
- A retrospective study of 313 patients (366 feet) undergoing dorsal web-splitting incision for interdigital neuroma.
- Follow-up data collected from 259 patients (305 feet) with an average of 5.9 years.
- Patient satisfaction assessed using a scale of complete satisfaction to dissatisfaction.
Main Results:
- Overall patient satisfaction was 79% (45.2% completely satisfied, 33.8% with minor reservations).
- Patient satisfaction was directly correlated with the size of the excised neuroma.
- Bilateral procedures were associated with increased dissatisfaction, and 91% of neuromas were in the third web space.
Conclusions:
- Surgical treatment for interdigital neuroma can achieve high satisfaction rates, influenced by neuroma size.
- Careful consideration of bilateral procedures is warranted due to potential dissatisfaction.
- The third web space is the most common location for interdigital neuromas requiring surgical treatment.