Primary Morton's Neuroma: comparison of plantar/dorsal incisions for operative treatment .
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A Prospective Randomized Controlled Trial of Plantar Versus Dorsal Incisions for Operative Treatment of Primary Morton's Neuroma
Foot Ankle Int. 2013 Sep;34(9):1198-204Exclusive Author Interview
Dr. Christian Akermark discusses different incision techniques for the operative treatment of Morton’s Neuroma
76 patients suffering from primary Morton's Neuroma (PMN) were randomized to compare the efficacy of surgical treatments using plantar versus dorsal incisions. The study assessed clinical outcomes, adverse events, and complications of surgically resected PMNs. Results indicated that plantar and dorsal incision approaches are equally effective for pain, scar tenderness, restrictions in daily activities, sensory loss, patient satisfaction, and complication rates. The type of complications between groups were notably different: plantar group patients suffered from hypertrophic scars of varying size and foreign-body reactions, while the dorsal group patients reported missed nerve, wound infection, deep vein thrombosis, and dehiscence.
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