Department of Orthopaedics, Ortopediska Huset, Drottninggatan 99, SE-11420 Stockholm, Sweden.
Foot Ankle Surg. 2008;14(2):67-73. doi: 10.1016/j.fas.2007.10.004. Epub 2008 Feb 21.
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.
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.
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%.
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.
本前瞻性研究的目的是评估采用纵向足底切口治疗原发性 Morton 神经瘤的手术效果，平均随访 29 个月（最短 24 个月）。
所有 55 例患者（59 足）在术前和术后均采用视觉模拟评分法（VAS）评估疼痛，并对术前的 X 线片进行评估。两名独立的骨科医生进行随访检查。
组织学检查证实所有病例均为阳性神经瘤，仅出现 3 例轻微并发症。随访时疼痛缓解率为 88%，86%的患者对治疗结果的总体满意度评价为优秀或良好。对于从事体育活动的患者，这一比例为 93%。
采用足底切口的手术似乎是治疗原发性 Morton 神经瘤的一种可靠且安全的方法，仅出现少数轻微并发症，主观疗效满意，与其他采用不同手术方法的研究结果一致。
