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Neurolysis for Failed Tarsal Tunnel Surgery

Discussion in 'Foot Surgery' started by NewsBot, May 14, 2008.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Outcome of Neurolysis for Failed Tarsal Tunnel Surgery.
    Barker AR, Rosson GD, Dellon AL.
    J Reconstr Microsurg. 2008 May 9 [Epub ahead of print]
     
  2. drsarbes

    drsarbes Well-Known Member

    Revision Tarsal Tunnel Surgery!

    A very difficult procedure since one never knows (unless the revision surgeon was the initial surgeon, in which case the laws of diminishing returns should apply)

    ALL OTHER INTANGIBLES BEING EQUAL, I find a few common "errors" in surgeons performing unsuccessful TT Decompressions:

    1. The Porta Pedis is not, or not completely, released.
    2. If varicosities exist they need to be ligated, no matter how difficult or how much time it may take.
    3. Post operative protocol is important. If the surgeon does not understand the post operative measure which are needed for proper wound healing then the possibility of failure increases, regardless of how well the surgery itself was performed.
    4. If the patient has any classic heel spur/fasciitis pain then perform a faciotomy/spur resection along with the release.
    5. A suspected non compliant patient should not be booked for surgery.

    Basically, in my humble opinion, Tarsal Tunnel release is a demanding procedure if you want repeatable, high success rates. This is not a procedure that should be done by the inexperienced 3 or 4 times a year, nor by the surgeon incapable and not trained to deal with the possible intra and post operative complications.

    Steve
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Neurolysis for Failed Tarsal Tunnel Surgery
    Merter Yalcinkaya, MDemail, Utku Erdem Ozer, MD, M. Burak Yalcin, MD, A. Erdem Bagatur, MD
    The Journal of Foot and Ankle Surgery; Articles in Press
     
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