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Poor results after resection for Haglund's heel. Analysis of 35 heels in 23 patients after 3 years
Acta Orthopaedica Scandinavica
|February 1, 1994
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Resection of the calcaneus for Haglund
Area of Science:
- Orthopedic Surgery
- Podiatry
- Biomedical Engineering
Background:
- Haglund's heel is a bony enlargement on the back of the heel bone.
- Surgical resection is a common treatment for symptomatic Haglund's heel.
- The optimal surgical technique and its long-term outcomes require further investigation.
Purpose of the Study:
- To evaluate the clinical outcomes of calcaneal resection for Haglund's heel.
- To compare the effects of small versus large resection sizes on heel pain, stiffness, and ankle pain.
- To identify factors associated with persistent heel pain and other late complications.
Main Methods:
- Retrospective review of 23 patients (35 heels) who underwent calcaneal resection for Haglund's heel.
- Patients were categorized based on resection size (small vs. large).
- Clinical outcomes, including heel pain, stiffness, ankle pain, and patient satisfaction, were assessed at 3 (1-6) years post-surgery.
Main Results:
- Heel pain reduction was independent of resection size.
- Large resections were associated with increased stiffness and ankle pain compared to small resections.
- Persistent heel pain occurred in 12 heels, with various late complaints in 22 heels.
Conclusions:
- Calcaneal resection can provide good to satisfactory outcomes for Haglund's heel.
- Large resections may increase the risk of stiffness and ankle pain.
- Careful patient selection and surgical technique are important for optimizing long-term results.
Abstract:
We reviewed 23 patients 3 (1-6) years after resection of the calcaneus for 35 Haglund's heels. 19 heels had been treated with a small resection and 16 with a large resection. The effect on the heel pain was independent of the size of the resection, but stiffness and ankle pain were more frequently associated with large than small resections. At follow-up persistent heel pain was found in 12 heels and additional various late complaints in 22. The overall clinical outcome was good in 20 heels, satisfactory in 10 and poor in 5 heels.