Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 67-73, 2008

A prospective 2-year follow-up study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma)

  • Christian Åkermark

      Affiliations

    • Department of Orthopaedics, Ortopediska Huset, Drottninggatan 99, SE-11420 Stockholm, Sweden
    • Corresponding Author InformationCorresponding author at: Birger Jarlsgatan 106A, SE-11420 Stockholm, Sweden. Tel.: +46 70 5157888; fax: +46 8 153834.
    • ,
  • Tönu Saartok

      Affiliations

    • Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm and Department of Orthopaedics, Visby Hospital, Visby, Sweden
    • ,
  • Zbigniew Zuber

      Affiliations

    • Department of Orthopaedics, St Görans Hospital, Stockholm, Sweden

Abstract 

Background

The aim of this prospective study, with a mean 29 (minimum 24) months follow-up was to evaluate the outcome of surgical treatment with a longitudinal, plantar incision of primary Morton's neuromas.

Methods

All 55 patients (59 feet) had their pre-and post-operative pain assessed using VAS, and pre-operative radiographs evaluated. Two independent orthopedic surgeons performed the follow-up examinations.

Results

Histology confirmed positive neuromas in all cases and there were only three minor complications. There was 88% reduction of pain at follow-up and 86% of all patients rated the overall satisfaction with the results as excellent or good. For those patients engaged in sports activities, the corresponding figure was 93%.

Conclusions

Surgery with a plantar incision seems to be a reliable and safe intervention of primary Morton's neuromas, with only limited number of minor complications and a subjective satisfactory outcome, well in accordance with other studies, using different, surgical approaches.

Keywords: Morton's neuroma, Prospective study, Plantar incisions, Pre-and post-operative pain

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PII: S1268-7731(07)00097-5

doi:10.1016/j.fas.2007.10.004

Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 67-73, 2008

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