Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 6 , ISSUE 1 ( January-June, 2019 ) > List of Articles

Original Article

Surgical Treatment of Tarsal Tunnel Syndrome

Murat Gulcek, Nural Aydin, Ali Oznur

Keywords : Patient outcome assessment, Surgery, Tarsal tunnel syndrome, Tibial nerve

Citation Information : Gulcek M, Aydin N, Oznur A. Surgical Treatment of Tarsal Tunnel Syndrome. J Foot Ankle Surg Asia-Pacific 2019; 6 (1):13-17.

DOI: 10.5005/jp-journals-10040-1096

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and aim: To assess the long-term functional outcomes of operative treatment for tarsal tunnel syndrome (TTS) and determine the factors that are associated with favorable and unfavorable clinical results. Patients and methods: Sixty six patients (71 feet) who had undergone tarsal tunnel release (TTR) operation between 2000 and 2009 were recalled for a follow-up evaluation by a physiatrist to determine the outcome. The subjective complaints of the patients were re-evaluated using two different questionnaires: the foot function index (FFI) and a structured questionnaire. Results: The mean age of the patients was 51.67 ± 13.07 (range 21–84) years. The mean follow-up time was 54.36 ± 15.72 (range 12–96) months. Outcomes in terms of patient satisfaction were 45.1%—very satisfied (VS), 16.9%—moderately satisfied (MS), 19.7%—somewhat satisfied (SS), and 18.3%—not satisfied. Prognostic indicators of poor results in univariate analysis were older age, obesity, longer disease duration, coexisting lower back pain (LBP), plantar fasciitis, diabetes mellitus (DM), and/or carpal tunnel syndrome (all p 0.05). Conclusion: LBP and DM were the most significant factors associated with unfavorable clinical results. The majority of the patients’ symptoms improved following TTR operation.


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