Orthopedics · 1991 · 62 citations · 0 references
MedicineOrthopaedic SurgerySurgeryNeuropathic Foot DisordersOncologic SurgeryPeripheral Nerve SurgeryLower Extremity Nerve SurgeryNerve ReconstructionNerve RepairNeuroma SurgeryUpper Extremity Nerve SurgeryConservative Surgical TreatmentDorsal Cutaneous NeuromaInterdigital NeuromaInterdigital SurgeryPatient Satisfaction AnalysisPatient Satisfaction EvaluationPrimary Neuroma SurgerySurgical Neuroma Management
We studied 366 feet in 313 patients who underwent surgical treatment for a primary interdigital neuroma through a dorsal web-splitting incision. Three hundred five feet in 259 patients were available for follow up, which averaged 5.9 years (range: 2.8 to 13); 45.2% of these patients were completely satisfied, 33.8% were satisfied with minor reservations, 9.2% were satisfied with major reservations, and 11.8% were dissatisfied after the surgical procedure. Patient satisfaction was directly related to the size of the neuroma found at the time of operation. Bilateral procedures were associated with a higher rate of dissatisfaction. The third web space accounted for 91% of the neuromas.