Bioresorbable Hyaluronic Acid Alginate Nerve Protector in Deep Peroneal Neurectomy for Treatment of Midfoot Arthritis

Midfoot arthritis can be a painful condition that can limit shoe options and affect quality of life. Traditional methods for treating midfoot arthritis have included steroid injections to the affected joints or arthrodesis for surgical management. The medial midfoot joints are innervated by the deep peroneal nerve and can also commonly be affected by midfoot arthritis with shooting pain in the foot and ankle. Deep peroneal neurectomy is a viable surgical option that has a quick recovery and predictable outcomes. Nerve pain or neuroma following neurectomy procedures is a potential complication. A hyaluronic acid alginate hydrogel can be used to the neurectomy site to help avoid postoperative neuroma complications. Level of Clinical Evidence: Technique/Case Study 5.