Pimprikar Milind V, Geddam Madhu, Patii Hitendra G
Department ofArthroscopy and sports medicine, Nashik, Maharashtra India.
J Orthop Case Rep. 2017 Nov-Dec;7(6):46-49. doi: 10.13107/jocr.2250-0685.944.
The main objective of this case report is to demonstrate endoscopic calcaneoplasty (ECP) using two lateral portals.
The patient is middle-aged male aged 40 years, with higher basal metabolic index (BMI) and was diagnosed having a Haglund's bump and was on conservative treatment for a period of over 6 months, with minimal relief. We did ECP with the patient in lateral decubitus position using two lateral portals instead of using one medial and one lateral portal, his American Orthopaedic Foot and Ankle Society score has improved from 64 to 98, and his Fowler-Philip angle is reduced from 71° to 45°.
ECP using two lateral portals with patient in lateral position is comfortable for the patients with higher BMI and the surgical time can also be reduced. However, we need to perform more number of cases through this technique to conclude to the results. Endoscopic calcaneoplasty, two lateral portals, Haglund's bump.
本病例报告的主要目的是展示使用两个外侧入路的内镜下跟骨成形术(ECP)。
患者为一名40岁的中年男性,基础代谢指数(BMI)较高,被诊断为有Haglund畸形,并接受了6个月以上的保守治疗,缓解甚微。我们采用两个外侧入路而非一个内侧入路和一个外侧入路,让患者处于侧卧位进行ECP,其美国矫形足踝协会评分从64分提高到了98分,Fowler-Philip角从71°降至45°。
对于BMI较高的患者,采用两个外侧入路并让患者处于侧卧位进行ECP,患者感觉舒适,手术时间也可缩短。然而,我们需要通过该技术开展更多病例才能得出最终结果。内镜下跟骨成形术,两个外侧入路,Haglund畸形。