Surgical techniques and pearls for revisional plantar fibroma resection and medial plantar nerve decompression and implantation

Abstract

Plantar fibromas anatomically can overlay the medial plantar nerve which lies between the abductor hallucis muscle and flexor digitorum brevis, and entrapment neuromas with significant scarring should be a consideration following initial plantar fibroma resection. There is currently a paucity of literature regarding options to guide treatment of medial plantar nerve entrapment following failed wide fibroma resection complicated by significant scar tissue adhesions and contracture. This report will focus on patient selection including indications, surgical pearls, and postoperative care.