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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.
Summary
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.
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.
