Figure 9.

Wound closure of the subcutaneous, intradermal, or subcuticular tissues should be performed using monofilament absorbable suture. Neuroma excision may be performed between metatarsal spaces with identified fibromas. If multiple neuromas are present in adjacent metatarsal spaces, incisions should be placed with sufficient distance to prevent dermal necrosis. In this example, the incisions were shifted medial or lateral to increase the dermal flap surface area between the incisions while ensuring the incisions could be used to access the deep tissues between the metatarsal heads (indicated by black asterisks).