Kim J, Dellon A L
Division of Orthopedic Surgery, Kon-Kuk University School of Medicine, Seoul, Korea.
J Am Podiatr Med Assoc. 2001 Mar;91(3):109-13. doi: 10.7547/87507315-91-3-109.
The authors conducted a retrospective review of 16 patients who presented with the complaint of pain at the incision site after tarsal tunnel decompression. Specifically, the pain was located at the proximal aspect of the tarsal tunnel decompression scar. The mean duration of pain was 21 months (range, 6 to 34 months). The pain was eliminated by a block of the distal saphenous nerve, demonstrating that the pain was due to a neuroma of this nerve. The pain was treated by resection of the distal saphenous nerve in the distal leg and implantation of the proximal end of this nerve into the soleus muscle. At a mean of 18.5 months after surgery (range, 6 to 33 months), excellent relief of pain was achieved in 76% of cases and good relief of pain in 24% of cases.
作者对16例跗管减压术后切口部位疼痛的患者进行了回顾性研究。具体而言，疼痛位于跗管减压瘢痕的近端。疼痛的平均持续时间为21个月（范围为6至34个月）。隐神经阻滞可消除疼痛，表明疼痛是由该神经的神经瘤引起的。通过切除小腿远端的隐神经并将该神经的近端植入比目鱼肌来治疗疼痛。术后平均18.5个月（范围为6至33个月），76%的病例疼痛得到极佳缓解，24%的病例疼痛得到良好缓解。
