Detaillierte Beitrags-Information
| Beitragstitel | LONGITUDINAL PLANTAR APPROACH FOR EXCISION OF MORTON'S NEUROMA. LONG-TERM RESULTS. |
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| Beitragscode | P077 |
| Autoren | |
| Präsentationsform | Poster |
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| Abstract |
Introduction: Longitudinal plantar approaches are generally considered at risk of wound healing problems, painful scar formation, and delayed full weightbearing. Thus, the aim of our study was to investigate long-term outcomes after a primary Morton's neuroma excision through a longitudinal plantar approach. Methods: We performed a retrospective study including only patients with primary neuroma excision, with no bilateral neuromas operated at the same time, with no previous or simultaneous surgery of the affected foot. Twenty-four patients (28 feet) were evaluated at a mean 9-year follow-up time (range, 6-14) by a single trained examiner using a specific postoperative evaluation protocol, including AOFAS Forefoot subjective and objective scores. Results: Good-to-excellent outcomes were reported in 25 cases (89.3%), fair results in 3 patients (10.7%), with only two cases of hypertrophic scar formation and keratosis (7.1%). All the patient except one were able to full weight-bearing with a postoperative shoe from the first day after the operation. Conclusions: This study showed that a longitudinal approach can lead to long-term good-to-excellent outcomes without any case of recurrence or reoperation and an accurate wound closure and an immediate weightbearing with a postoperative shoe can minimize the rate of complications. |