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Ultrasound-assisted calcaneoplasty
Tomislav Madarevic1, Ivan Rakovac, Lana Ruzic
1University Hospital for Orthopaedic Surgery Lovran, Marsala Tita 1, 51415, Lovran, Croatia, tomislav.madjarevic@gmail.com.
Summary
Ultrasound-assisted calcaneoplasty precisely resects the posterosuperior calcaneus, effectively treating Haglund deformity with rapid recovery. This minimally invasive technique offers a promising alternative to traditional methods for heel pain relief.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Techniques
- Foot and Ankle Surgery
Background:
- The endoscopic technique for calcaneal spur resection has been the standard, but carries significant morbidity and prolonged recovery.
- Open techniques for calcaneal spur resection are largely replaced by endoscopic methods.
- There is a need for less invasive surgical options with reduced recovery times for calcaneal pathologies.
Purpose of the Study:
- To introduce and evaluate the efficacy of an ultrasound-assisted technique for calcaneoplasty.
- To reduce morbidity and shorten recovery time compared to traditional endoscopic or open surgeries.
- To assess the outcomes of ultrasound-assisted resection of the posterosuperior calcaneus for Haglund deformity and retrocalcaneal bursitis.
Main Methods:
- A case series of 15 patients with Haglund deformity and retrocalcaneal bursitis underwent ultrasound-assisted calcaneoplasty via a single incision.
- Resection of the prominent calcaneal portion was performed using an ultrasound-guided bone abrader to eliminate impingement.
- Patient outcomes were assessed using the AOFAS and Ogilvie-Harris scores, along with muscle strength and proprioception tests.
Main Results:
- All 15 patients completed the 3-month follow-up, demonstrating significant improvements in AOFAS and Ogilvie-Harris scores.
- Patient satisfaction was high, with rapid functional recovery observed.
- A single minor complication of superficial infection was noted, indicating a favorable safety profile.
Conclusions:
- Ultrasound-assisted calcaneoplasty provides precise resection of the posterosuperior calcaneus, effectively addressing retrocalcaneal impingement.
- This technique is clinically relevant for treating Haglund deformity, offering rapid functional recovery.
- The ultrasound-assisted method presents a viable and effective minimally invasive surgical option for relevant calcaneal pathologies.
