Surgical Treatment of Recurrent Morton's Neuroma.

In this series, 27 patients underwent surgery for recurrent Morton's neuroma through a plantar incision. All patients were women, with an age range of 35 to 65 years. Followup ranged from 12 months to three years. Twenty-one patients had recurrent neuromas in the third intermetatarsal space, and six patients had recurrence in the second intermetatarsal space.Twenty-four of 27 patients had excellent or good results, a success rate of 89%. Three patients with poor results had undergone previous surgery, including metatarsal osteotomies and adjacent nerve exploration, with resultant fat pad atrophy and chronic metatarsalgia. None of the patients developed a painful plantar scar. Stress fractures of the third metatarsal were not seen. Normal shoe wear and activity returned at six to 12 weeks in those patients with a satisfactory result.