Abstract
Morton’s neuroma is an entrapment neuropathy. Several surgical techniques were proposed for the management of this painful condition and to potentially limit the stump neuroma formation with variable results including attempts to seal the end of the nerve with cryogenic freezing, cauterization, electrocoagulation, carbon dioxide laser, chemical sclerosis, mechanical crush or ligation, fascial capping, and synthetic capping with methyl methacrylate, cellophane, collodion, silicone, glass, tin, tantalum, and silver and gold foils. In this study, 18 patients with Morton’s metatarsalgia were treated using a plantar approach, and neuro-osteodesis that entails burring the nerve into adjacent bone. All patients had satisfactory results except one case that necessitated a second surgery. Twelve patients were completely satisfied and five were satisfied with minor reservations. Based on the results provided by this prospective study, we believe that neuro-osteodesis through a plantar approach is expected to be a satisfactory measure for the management of this painful foot condition.
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