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Endoscopic calcaneoplasty: 5-year results
Gökhan Kaynak1, Tahir Öğüt, Necip S Yontar
1Department of Orthopedics and Traumatology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey.
Insights
Endoscopic calcaneoplasty effectively treats Haglund's disease and retrocalcaneal bursitis. This minimally invasive surgery significantly improves patient function and satisfaction, offering a safe and effective solution.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Minimally Invasive Procedures
Background:
- Haglund's disease involves a bony enlargement on the heel bone, causing pain and inflammation of the retrocalcaneal bursa.
- Retrocalcaneal bursitis is inflammation of the bursa located between the heel bone and the Achilles tendon.
- Conservative treatments are often insufficient for severe cases, necessitating surgical intervention.
Purpose of the Study:
- To evaluate the efficacy of endoscopic calcaneoplasty for treating Haglund's disease and retrocalcaneal bursitis.
- To assess patient outcomes, including functional scores and satisfaction, following the procedure.
Main Methods:
- A prospective study included 30 feet from 28 patients undergoing endoscopic calcaneoplasty.
- The procedure involved removing the inflamed bursa and resecting bone to eliminate Achilles tendon friction.
- Patients were allowed full weight-bearing at two weeks post-surgery, with outcomes measured by AOFAS scores and patient satisfaction.
Main Results:
- The average follow-up period was 58.4 months.
- American Orthopedic Foot and Ankle Society (AOFAS) scores significantly improved from 52.6 to 98.6 post-surgery (p<0.005).
- All patients reported high satisfaction with the surgical outcomes.
Conclusions:
- Endoscopic calcaneoplasty is a safe and effective surgical technique for Haglund's disease and retrocalcaneal bursitis.
- The procedure leads to significant functional improvement and high patient satisfaction.
- This minimally invasive approach offers a viable treatment option for these foot conditions.
Objective:
The aim of this study was to evaluate the results of the endoscopic calcaneoplasty technique for the treatment of retrocalcaneal bursitis and Haglund's disease.
Methods:
This study included 30 feet of 28 patients who underwent endoscopic surgery for Haglund's disease between 2003 and 2011. The inflamed bursa and posterosuperior surface of the calcaneus were removed with a shaver and bone resection performed until there was no friction on the Achilles tendon with the ankle in dorsiflexion. All patients were discharged on the same day and allowed full weight-bearing at the second postoperative week. American Orthopedic Foot and Ankle Society (AOFAS) scores and patient satisfaction were recorded.
Results:
Average follow-up was 58.4 months. AOFAS scores significantly improved from a postoperative average of 52.6 points to 98.6 points at the final evaluation (p<0.005). All patients were satisfied with the result of the operation.
Conclusion:
Endoscopic calcaneoplasty with the patient in the prone or supine position appears to be a safe and effective surgical procedure for the treatment of retrocalcaneal bursitis and Haglund's disease.