How is the Surgery Performed?

Surgery for a fibroma is not common in my practice. There is a high risk of recurrence of the fibroma, and of the recurrence is often worse than the original problem.

Excision can be successful, but it is preferable to have insoles rather than surgery, especially if symptoms are mild.

However, if suitable insoles are unable to allow reasonable comfort when standing or walking, then surgery can be considered, but taking into account the risks of recurrence.

Surgery is carried out under general anaesthetic, but and this is augmented with local anaesthetic injections behind the knee or around the ankle. The injections are normally given while you are asleep for your comfort. They can give good pain relief for the first day after the operation. You can go home the same day in the evening.

Risks of Surgery

Bleeding, infection, poor bone healing, poor skin healing, injury to tendons, injury to nerves, recurrence, and a need for further surgery. The risk of recurrent fibromata, which can be worse than the original condition, is the reason we shy away from surgery if possible, although many patients do have successful surgery.

There is a small risk of blood clots in the legs or lungs (DVT and PE), and there are also risks from anaesthesia - the process of being put to sleep for your operation.

Risks of Anaesthesia

The injection behind your knee is given using an ultrasound machine to guide the needle. There is a less than 1% chance of injury to the nerve. General anaesthetic also carries risks. These risks are proportional to your general health. You will need to be assessed for your fitness for surgery and an Anaesthetist will be able to advise you on your individual risk.

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