Our experience in the surgical treatment of Morton’s metatarsalgia with a minimally invasive surgery technique

The authors, while analyzing the nosologic framework of Civinini-Morton metatarsalgias, present their surgery case-study of 31 patients treated with a minimally invasive percutaneous technique. In particular, the neurolysis of the neuroma was performed through the percutaneous incision of the transverse intermetatarsal ligament (TIML) and through the distal metaphyseal osteotomy of the metatarsals contiguous to the involved intermetatarsal space, all of them being anatomical elements which identify the arch of the involved metatarsal canal. Of pivotal importance are the results of radiographic tests showing, in all the cases, a macroscopic reduction of the diameter of the nerve affected by nerve compression neuropathy. Furthermore, a remarkable percentage of the patients (70%) were exclusively treated with the osteotomy of the 3rd metatarsal. Such unusual procedure proved to further facilitate the postoperative course of the patient and the overcoming of some complications. The encouraging results obtained in this kind of surgical treatment place, in the authors’ opinion, this technique among the most effective minimally invasive surgical treatments.