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Related Experiment Videos

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
PubMed
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.

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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.

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