Médecine et chirurgie du pied


Reconstruction of a Painful Post-traumatic Medial Plantar Neuroma: a Case Report Volume 34, issue 3, Septembre 2018


Nerve wounds require special attention with primary surgery under optimal conditions for best results to avoid the post-traumatic neuromas as much as possible, very difficult with secondary management. Few studies in the literature indicate secondary repair of neuromas located at the foot. This observation illustrates the case of a 10-year-old girl, who was followed in the pediatric orthopedic department for post-traumatic neuroma of the arch of the foot, causing disabling pain and preventing any contact with the territory of the neuroma. The exploration found an internal plantar nerve neuroma that was treated by resection. The reconstruction was provided by a surgical nerve graft and the protection by a vascular wall and the internal plantar muscle. After a six years of follow-up, the patient regained support on the affected foot with disappearance of the pain and restoration of cutaneous sensitivity in the concerned territory. The aim of our work is to evaluate the efficiency and originality of our therapeutic choice for the secondary management of the post-traumatic neuroma of the plantar arch.