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Published on: January 24, 2018
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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.
Malaysian Orthopaedic Journal
|April 25, 2017
Summary
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.

