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Haglund Deformity - Surgical Resection by the Lateral Approach
1Department Of Orthopaedics, Saveetha Medical College and Hospital, Thandalam, Kancheepuram district, Tamilnadu, India.
Insights
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.
- 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.
Abstract:
The aim of this study was to analyse the outcome of surgical Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum. Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum, causing a painful bursitis, which may be difficult to treat by non-operative measures alone. Various surgical methods are available for effective treatment of refractory Haglund's deformity. This study is to evaluate whether adequate resection of Haglund deformity by a lateral approach provides good to excellent results. During the period from 2009 to 2012, 40 patients with 46 feet had undergone resection of Haglund deformity using lateral approach and the outcome was analysed using AOFAS Ankle-Hind Foot Scale. The mean AOFAS score at the follow up was 86/100, with the majority of patients reporting alleviation of pain at one year follow up. The lateral approach to calcaneal ostectomy can be an effective treatment for those suffering from refractory Haglund deformity. However, the patient must be made aware of theduration of recovery being long.
