Plantar Approach for a Morton Neuroma: Surgical Technique

Area of Science:

• Podiatric surgery
• Neurosurgery
• Orthopedic surgery

Background:

• Morton neuroma is a common condition causing foot pain.
• Surgical intervention is often necessary for persistent symptoms.
• The plantar approach offers potential advantages over other surgical methods.

Purpose of the Study:

• To describe the plantar surgical approach for Morton neuroma excision.
• To evaluate the outcomes and safety of this technique.

Main Methods:

• A transverse plantar skin incision is made.
• The neuroma is dissected and the common digital nerve is identified.
• Nerve resection is performed, followed by layered closure with absorbable and nonabsorbable sutures.

Main Results:

• 160 of 168 patients were assessed post-surgery.
• The median follow-up duration was 7.1 years.
• The plantar approach demonstrated comparable results to other methods with a low complication rate.

Conclusions:

• The plantar approach is a viable surgical option for Morton neuroma.
• It allows preservation of the transverse metatarsal ligament and reduces risk to dorsal cutaneous nerves.
• This technique offers favorable outcomes and a low complication profile.