Dorsal approach for excision of Morton’s interdigital neuroma: A mid-term follow-up study

Aim: Morton’s neuroma is a paroxysmal neuralgia of forefoot and when nonsurgical treatment is unsuccessful, neuroma excision is indicated. The purpose of the present study was to evaluate the outcomes, complications and existing symptoms following an excision of the neuroma using dorsal approach. Methods: The study evaluated 27 patients (21 women) with an average age of 49 years (range, 24-74) and an average follow-up of 52 months (range, 24-96). The clinical diagnosis was confirmed by history and clinical evaluation. Clinical outcomes were assessed using the interdigital neuroma score and the patients were asked in terms of the level of pain, shoe modification, and sensorial problems. Results: Average interdigital neuroma score improved from 20 to 62 points following the surgery (p

Dorsal yaklaşım ile Morton nöroma eksizyonu cerrahisi orta dönem sonuçları

Amaç: Morton’s nöroma ön ayağın ilerleyici ve ağrılı bir hastalığı olup, cerrahi dışı yöntemler başarısız olduğunda nöroma eksizyonu tedavi seçenekleri arasındadır. Bu çalışmada dorsal yaklaşım ile nöroma eksizyonu yapılan olgularda fonksiyonel sonuçlar, komplikasyonlar ve devam eden şikayetler araştırılmıştır. Yöntemler: Morton’s nöroma tanısı ile dorsal nöroma eksizyonu yapılan 27 hasta (21 kadın) çalışmaya dahil edildi. Ortalama yaş 49 yıl (Yaş aralığı 24-74 yıl) ortalama takip süresi 52 ay idi (Yaş aralığı 24-96 yıl). Klinik skorlar interdigital nöroma skorlama sistemine göre değerlendirildi. Hastalar son takiplerinde ağrı şiddeti, ayakkabı değişiklikleri ve duyu problemleri açısından sorgulandı. Bulgular: Cerrahi öncesi 20 puan olan ortalama interdigital nöroma skorlaması, son takipte ortalama 62 puan olarak saptandı (p

Kaynakça

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