CME OnDemand: 2022 AOFAS Annual Meeting-Durability and Safety of Deep Peroneal Nerve Neurectomy for Midfoot Arthritis at Midterm Follow Up

Durability and Safety of Deep Peroneal Nerve Neurectomy for Midfoot Arthritis at Midterm Follow Up

Video Transcription

Video Summary

The video was presented by Jose Tarraghi from Mayo Clinic, Florida. The study focused on evaluating patient satisfaction and pain relief in individuals with midfoot osteoarthritis who underwent deep peroneal nerve neurectomy surgery. The study involved 49 patients, 42 unilateral and 7 bilateral procedures, with an average age of 68 and a follow-up time of 35 months. The results showed that 81% of patients were satisfied with the surgery, 85% would repeat the surgery, and 84% would recommend it. 92% reported pain relief in the first six months, but 56% reported current activity limitations due to midfoot pain. Complications included infection, nerve neuroma, and inadequate pain relief. However, there were no observed neuroarthropathy, midfoot collapse, or toe deformities. The study concludes that deep peroneal nerve neurectomy is a safe and effective surgical option for chronic dorsal midfoot pain relief.

Asset Subtitle

Jose M. Iturregui, MD, Edward T. Haupt, MD, Benjamin Wilke, MD, Jonathan C. Kraus, MD, and Glenn G. Shi, MD

Keywords

Jose Tarraghi

Mayo Clinic

patient satisfaction

pain relief

midfoot osteoarthritis