Dereymaeker G, Schroven I, Steenwerckx A, Stuer P
University Hospital Pellenberg, Department of Orthopedics, K.U. Leuven, Belgium.
Acta Orthop Belg. 1996 Mar;62(1):22-5.
Thirty-one patients (thirty-two feet) had excision of the interdigital nerve as treatment of their Morton's metatarsalgia. A longitudinal dorsal incision was used in all cases. Twenty-five out of 32 cases had a macroscopically visible neuroma, and only two had no evidence of a neuroma on histological examination. All thirty-two patients were available for follow-up at an average of 44.7 months (range 14 to 71 months) postoperatively. Eighty-one per cent of the patients had a good or excellent result, 12.5% had a fair result, with residual pain and some restriction of activities, and 6.5% had no improvement after their operation. It is noteworthy that 19 patients (60%) benefitted from wearing adapted shoes or inner soles for a considerable time after the operation. Even at final follow-up, only 10 patients (30%) had no restrictions in the choice of their shoes.
31例患者（32足）接受了趾间神经切除术以治疗莫顿跖痛症。所有病例均采用纵行背侧切口。32例中有25例在宏观上可见神经瘤，只有2例在组织学检查中未发现神经瘤证据。所有32例患者均获得随访，术后平均随访44.7个月（范围14至71个月）。81%的患者结果为良好或优秀，12.5%的患者结果为尚可，有残留疼痛和一些活动受限，6.5%的患者术后无改善。值得注意的是，19例患者（60%）在术后相当长一段时间内受益于穿着合适的鞋子或鞋垫。即使在最终随访时，只有10例患者（30%）在鞋子选择上没有限制。
