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Surgical efficacy analysis of tarsal tunnel syndrome: a retrospective study of 107 patients

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Abstract

Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the posterior tibial nerve or its terminal branches compressed by its fibro-osseous 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 results should carefully be cautious when considering their decision to undergo surgical treatment.

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Authors and Affiliations

  1. Department of Hand and Foot Surgery, The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun, 130021, Jilin, China

    Xin Yu, Ziping Jiang & Pengcheng Liu

  2. Department of Anesthesiology, The First Hospital of Jilin University, Changchun, 130021, Jilin, China

    Lei Pang

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  1. Xin Yu
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  2. Ziping Jiang
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  3. Lei Pang
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  4. Pengcheng Liu
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The datasets used or analysed during the current study are available from the corresponding author on reasonable request.

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Correspondence to Pengcheng Liu.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Yu, X., Jiang, Z., Pang, L. et al. Surgical efficacy analysis of tarsal tunnel syndrome: a retrospective study of 107 patients. Cell Tissue Bank 22, 115–122 (2021). https://doi.org/10.1007/s10561-020-09871-y

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  • DOI: https://doi.org/10.1007/s10561-020-09871-y

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