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Haglund Deformity - Surgical Resection by the Lateral Approach.

S Natarajan1, V L Narayanan1

  • 1Department Of Orthopaedics, Saveetha Medical College and Hospital, Thandalam, Kancheepuram district, Tamilnadu, India.

Malaysian Orthopaedic Journal
|April 25, 2017
PubMed
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Surgical resection of Haglund deformity using a lateral approach effectively treats painful heel conditions. Most patients experienced pain relief and good outcomes one year after surgery for this refractory condition.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine

Background:

  • Haglund deformity, a calcaneal prominence, often causes painful bursitis resistant to conservative treatments.
  • Surgical intervention is frequently necessary for refractory cases of Haglund deformity.

Purpose of the Study:

  • To evaluate the efficacy of surgical resection of Haglund deformity via a lateral approach.
  • To assess patient outcomes using the AOFAS Ankle-Hind Foot Scale.

Main Methods:

  • A retrospective analysis of 40 patients (46 feet) who underwent lateral approach calcaneal ostectomy for Haglund deformity between 2009 and 2012.
  • Outcomes were measured using the AOFAS Ankle-Hind Foot Scale at follow-up.

Main Results:

  • The mean AOFAS score at follow-up was 86 out of 100.
Keywords:
AOFAS Ankle Hind Foot scaleCalcaneal OstectomyHaglund deformity

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  • A majority of patients reported significant pain alleviation one year post-surgery.
  • The lateral approach demonstrated good to excellent results for refractory Haglund deformity.

    • Conclusions:

    • The lateral approach for calcaneal ostectomy is an effective surgical treatment for refractory Haglund deformity.
    • Patients should be informed about the potentially long recovery period associated with this procedure.