Abstract：
METHODS: An overall healthy 48-year-old man suffered a left foot mangled crush injury resulting in a post-transmetatarsal amputation and subsequently developing a painful neuroma on the plantar surface of the foot. To avoid the zone of injury, targeted muscle reinnervation was used to treat the neuroma by coapting the tibial nerve to the motor point of the flexor hallucis longus (FHL) muscle. At 1-year follow-up, the patient reported no pain at rest, returned to work, and could ambulate with an orthosis for 30 minutes.
CONCLUSIONS: Rare tibial nerve coaptations to the FHL could serve as a treatment option for patients with neuromas in traumatic postmetatarsal amputation.
CONCLUSIONS: Rare tibial nerve coaptations to the FHL could serve as a treatment option for patients with neuromas in traumatic postmetatarsal amputation.
摘要：
方法：一名整体健康的48岁男子遭受左脚挤压伤，导致后经跖骨截肢，随后在足足底表面发展出疼痛的神经瘤。为了避免受伤区域，通过将胫神经与长屈屈肌（FHL）的运动点接合，使用针对性的肌肉神经支配来治疗神经瘤。在1年的随访中，患者报告休息时没有疼痛，回到工作岗位,可以用矫形器走动30分钟。
结论：对FHL的罕见胫神经接合可作为创伤性跖骨后截肢神经瘤患者的治疗选择。
结论：对FHL的罕见胫神经接合可作为创伤性跖骨后截肢神经瘤患者的治疗选择。
