Natarajan S, Narayanan V L
Department Of Orthopaedics, Saveetha Medical College and Hospital, Thandalam, Kancheepuram district, Tamilnadu, India.
Malays Orthop J. 2015 Mar;9(1):1-3. doi: 10.5704/MOJ.1503.006.
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.
本研究的目的是分析手术治疗跟骨Haglund畸形的结果。Haglund畸形是跟骨后外侧的一个隆起，可导致疼痛性滑囊炎，仅通过非手术措施可能难以治疗。有多种手术方法可有效治疗难治性Haglund畸形。本研究旨在评估通过外侧入路对Haglund畸形进行充分切除是否能带来良好至优异的效果。在2009年至2012年期间，40例患者的46只脚采用外侧入路进行了Haglund畸形切除术，并使用美国足踝外科协会（AOFAS）踝-后足评分量表对结果进行了分析。随访时的平均AOFAS评分为86/100，大多数患者在一年随访时报告疼痛减轻。跟骨截骨术的外侧入路对于患有难治性Haglund畸形的患者可能是一种有效的治疗方法。然而，必须让患者意识到恢复时间较长。
