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Related Concept Videos

Muscles of the Leg that Move the Foot and Toes01:28

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
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Updated: Nov 29, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Deep Peroneal Neurectomy for Midfoot Arthritis.

Kristin B Kindred1, Mark R Wavrunek1, Douglas K Blacklidge2

  • 1Fellow, American Health Network Foot and Ankle Reconstructive Surgery Fellowship, Carmel, IN.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|November 23, 2020
PubMed
Summary
This summary is machine-generated.

Deep peroneal neurectomy offers an effective surgical option for tarsometatarsal and naviculocuneiform joint arthritis. This procedure can be particularly beneficial for patients unsuitable for traditional arthrodesis surgery.

Keywords:
Lisfranc jointdeep peroneal nervenaviculocuneiform jointneurectomytarsometatarsal joint

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Area of Science:

  • Orthopedics
  • Foot and Ankle Surgery
  • Neurosurgery

Background:

  • Osteoarthritis of the tarsometatarsal joint (TMTJ) and naviculocuneiform joint (NCJ) is prevalent.
  • Arthrodesis is the standard surgical treatment, but not all patients are candidates.
  • Deep peroneal neurectomy is an underdescribed treatment for foot joint arthrosis.

Purpose of the Study:

  • To evaluate the outcomes of deep peroneal neurectomy for TMTJ and NCJ arthrosis.
  • To assess patient satisfaction and recurrence rates.
  • To determine the efficacy of neurectomy in patients ineligible for arthrodesis.

Main Methods:

  • Retrospective case series of 26 patients (34 feet) undergoing deep peroneal neurectomy.
  • Analysis of postoperative American Orthopedic Foot and Ankle Society midfoot scores.
  • Assessment of patient-reported expectations and willingness to repeat the procedure.

Main Results:

  • Median postoperative AOFAS midfoot score was 53.
  • 85% of patients reported met expectations; 77% would undergo the procedure again.
  • Symptom recurrence requiring further treatment occurred in 21% of feet.

Conclusions:

  • Deep peroneal neurectomy is an effective treatment for TMTJ and NCJ arthritis.
  • The procedure demonstrates good patient satisfaction and willingness for repeat intervention.
  • Neurectomy may be a valuable alternative for patients unsuitable for arthrodesis.