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Calcaneal ostectomy for Haglund disease.
M Pauker1, K Katz, Z Yosipovitch
1Department of Orthopedic Surgery, Beilinson Medical Center, Petah Tiqva, Israel.
The Journal of Foot Surgery
|November 1, 1992
Summary
Surgical removal of the prominent calcaneus bone effectively treats Haglund disease. Excision of the retrocalcaneal bursa is not required for successful outcomes in this condition.
Area of Science:
- Orthopedic surgery
- Podiatric medicine
- Skeletal biomechanics
Background:
- Retrocalcaneal bursitis, often caused by Haglund disease, presents a clinical challenge.
- Haglund disease involves a prominent posterior superior margin of the calcaneus, leading to heel pain.
Purpose of the Study:
- To evaluate the effectiveness of operative treatment for Haglund disease.
- To determine the necessity of retrocalcaneal bursa excision in conjunction with calcaneal bone resection.
Main Methods:
- Operative treatment involving bone resection was performed on 28 feet in 22 patients between 1967 and 1987.
- Procedures utilized either a lateral or medial surgical approach.
- Key surgical steps focused on removing the prominent calcaneal bone margin.
Main Results:
- Successful outcomes were achieved through the removal of the prominent calcaneal bone.
- Excision of the retrocalcaneal bursa was found to be unnecessary for a positive result.
- Adequate bone resection, guided by preoperative planning and intraoperative assessment, was crucial.
Conclusions:
- Resection of the prominent calcaneus is the primary surgical treatment for Haglund disease.
- Preserving the retrocalcaneal bursa simplifies the surgical procedure and yields successful outcomes.
- Meticulous preoperative planning and intraoperative bone assessment are critical for surgical success.