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Interdigital Commissural Approach for Morton's Neuroma.
1Austral University Hospital, Pilar, Buenos Aires, Argentina.
Foot & Ankle International
|July 18, 2020
Summary
This study presents a minimally invasive surgical technique for Morton's neuroma, showing excellent pain relief and high patient satisfaction. The commissural approach offers a safe and effective treatment option with a low complication rate.
Area of Science:
- Podiatric Surgery
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Morton's neuroma frequently causes metatarsalgia, necessitating operative treatment after non-surgical methods fail.
- This study focuses on a minimally invasive commissural approach for Morton's neuroma excision.
Purpose of the Study:
- To describe a minimally invasive commissural approach for Morton's neuroma excision.
- To evaluate the long-term outcomes and complication rates of this surgical technique.
Main Methods:
- Retrospective study of 108 patients with Morton's neuroma treated between 1990 and 2010.
- Evaluation of clinical outcomes and complications following a described surgical technique.
- Average follow-up of 121 months; Level IV evidence (retrospective case series).
Main Results:
- Significant reduction in Visual Analog Scale (VAS) pain scores from 5.4 preoperatively to 0.2 postoperatively (P < .01).
- Excellent or good patient satisfaction reported in 93.6% of cases.
- Low postoperative complication incidence of 3%.
Conclusions:
- The minimally invasive commissural approach is a simple, reproducible technique for Morton's neuroma.
- This method demonstrates advantages over dorsal or plantar incisions, offering satisfactory outcomes.
- Patients experience low complication rates and a rapid return to normal activities.
