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Published on: January 23, 2018
[EXPERIENCE IN ARTHROSCOPIC TREATMENT OF PATIENTS WITH HAGLUND'S DEFORMATION]
V Menshikov1, F Lazko1, A Prizov1
1Federal State Autonomous Educational Institution of Higher Education "Peoples' Friendship University of Russia"; "City Clinical Hospital. V.M. Buyanova of the Moscow Department of Health ", Moscow, Russia.
Insights
Arthroscopic calcaneoplasty effectively treats Haglund
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Sports Medicine
Background:
- Haglund's disease involves bony enlargement on the posterior calcaneus.
- Posterior calcaneal bursitis often coexists with Haglund's disease.
- Surgical intervention aims to alleviate pain and improve function.
Purpose of the Study:
- To evaluate the efficacy of arthroscopic calcaneoplasty.
- To assess outcomes for patients with Haglund's disease and posterior calcaneal bursitis.
Main Methods:
- Retrospective analysis of 28 patients (30 procedures) from 2015-2019.
- Arthroscopic calcaneoplasty involving bone resection using specialized instruments.
- Postoperative assessment using American Orthopedic Society for Foot and Ankle Surgery (AOFAS) and Visual Analog Scale (VAS) scores.
Main Results:
- Significant improvement in AOFAS scores from 52.6 to 98.6 (p˂0.005).
- Average follow-up of 58.4 months.
- High patient satisfaction and low VAS pain scores.
Conclusions:
- Arthroscopic calcaneoplasty is a safe and effective treatment.
- Demonstrates excellent functional outcomes and patient satisfaction for Haglund's disease.
Abstract:
The goal of this study was to evaluate the results of arthroscopic calcaneoplasty for the treatment of posterior calcaneal bursitis and Haglund's disease. The study involved 28 patients who underwent 30 arthroscopic surgeries for Haglund's disease from 2015 to 2019. Retrocalcanealneoplasty and supracalcaneoplasty were performed using a shaver, an ablator; with the help of a drill, the bone was resected until the contact in the Achilles tendon was eliminated in the position of dorsiflexion of the foot. All patients were discharged the next day and allowed full leg load in the second week after surgery. The AOFAS (American Orthopedic Society for Foot and Ankle Surgery) and VAS scores were calculated, and the patient's condition was estimated. Results: The average follow-up was 58.4 months. The AOFAS scores significantly improved from the average 52.6 to 98.6 at the final estimation (p˂0.005). All patients were satisfied with the result of the surgery. VAS scores were low. Conclusion: Arthroscopic calcaneoplasty has proven to be a safe and effective surgical method for the treatment of posterior calcaneal bursitis and Haglund's disease.

