Surgical efficacy analysis of tarsal tunnel syndrome: a retrospective study of 107 patients
- PDF / 470,536 Bytes
- 8 Pages / 547.087 x 737.008 pts Page_size
- 89 Downloads / 158 Views
(0123456789().,-volV) ( 01234567 89().,-volV)
Surgical efficacy analysis of tarsal tunnel syndrome: a retrospective study of 107 patients Xin Yu . Ziping Jiang . Lei Pang . Pengcheng Liu
Received: 28 February 2020 / Accepted: 28 September 2020 Ó Springer Nature B.V. 2020
Abstract Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve or its terminal branches compressed by its fibroosseous tunnel beneath the flexor retinaculum on the medial side of the ankle. The current study was a retrospective study of 107 cases of patients with TTS, in which the onset characteristics were summarized, the factors that might affect the surgical treatment effects of TTS were discussed and analyzed. The syndrome diagnoses and treatment experiences of TTS were extracted and analyzed. In our cohort, TTS was more often found in middle-aged and older women. And the medial plantar nerve bundle was the most frequently affected nerve structure. The efficacy of surgical treatment were correlated to the causes of the disease, involved nerve bundles, methods of operation, and whether neurolysis of the epineurium was performed. Neurolysis of the epineurium is was recommended for patients with an enlarged tibial nerve due to impingement. The Singh method was recommended to release the tibial nerve and its branches. Patients with negative preoperative EMG X. Yu Z. Jiang P. Liu (&) Department of Hand and Foot Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin, China e-mail: [email protected] L. Pang Department of Anesthesiology, The First Hospital of Jilin University, Changchun 130021, Jilin, China
results should carefully be cautious when considering their decision to undergo surgical treatment. Keywords Tarsal tunnel syndrome Efficacy evaluation Retrospective study Neurolysis Surgical treatment
Introduction Tarsal tunnel syndrome (TTS) is a disease in which the posterior tibial nerve and its branches are compressed as they travel through the fibro-osseous channel below the medial malleolar retinaculum (Keck 1962). Although more rare than other compression neuropathies, such as cubital tunnel syndrome and carpal tunnel syndrome, this disease still needs attention from surgeons due to its symptoms, its influence on patients, and difficulties in its diagnosis and treatment. TTS is mainly characterized by pain or sensory abnormalities (such as acmesthesia, burning sensation, and numbness), generally in the medial malleolus and pelma, radiating to the toes or proximal sural area. The etiology, pathogenic mechanism, diagnostic criteria, treatment and postoperative evaluation criteria of TTS are controversial (Mullick and Dellon 2008. Significant differences in the efficacy of surgery were reported in the literature (excellent and good rate of surgery: 44–96% Ahmad et al. 2012). Many surgeons have discussed the factors that affect the efficacy of
123
Cell Tissue Bank
TTS and the countermeasures for patients who have poor recovery, but these studies have no
Data Loading...
