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Recurrent pain following interdigital neurectomy--a plantar approach
1University of Texas Medical School Houston 77225.
Foot & Ankle
|August 1, 1988
Summary
Subsequent surgery for recurrent interdigital neuromas significantly improved most patients, though complete relief was less common. A plantar incision approach proved less traumatic and avoided healing issues.
Area of Science:
- Podiatric Surgery
- Neurosurgery
- Orthopedic Surgery
Background:
- Recurrent interdigital neuromas often necessitate repeat surgical intervention.
- Evaluating the efficacy of secondary surgical procedures is crucial for patient outcomes.
Purpose of the Study:
- To assess the success rates of repeat surgeries for interdigital neuromas.
- To compare two distinct surgical approaches for neuroma resection.
Main Methods:
- Retrospective analysis of 30 patients undergoing 39 surgeries for recurrent neuromas over 2.5 years.
- Comparison of dorsal incision versus transverse plantar incision techniques for nerve resection.
Main Results:
- Over 80% of patients experienced significant improvement after repeat surgery.
- Complete pain relief was achieved in less than 50% of cases.
- The plantar incision approach facilitated simpler, less traumatic exposure with no reported healing complications.
Conclusions:
- Subsequent surgery can yield significant improvement for recurrent interdigital neuromas.
- The plantar incision technique appears advantageous for its ease of use and favorable healing profile.
- Persistent discomfort, particularly with footwear, remains a consideration post-surgery.