Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas (BW, VP, CJ).
School of Medicine, University of Texas Medical Branch, Galveston, Texas (NB, LL).
Foot Ankle Spec. 2021 Apr;14(2):148-152. doi: 10.1177/1938640020908455. Epub 2020 Mar 4.
Haglund's deformity is a common cause of foot pain, with high success rates of surgical intervention. Because early weightbearing rehabilitation correlates with better surgical results, the integrity of anchors employed in these surgeries needs to be evaluated for proper fixation strength, leading to improved postoperative outcomes. The ultrasonically interdigitated anchor is a biodegradable suture anchor that is melted into bony trabeculae using ultrasound, leaving a small biological footprint and less interference on computed tomography and magnetic resonance imaging scans, without loss of fixation strength. We performed a review of 44 patients aged 26 to 84 years treated with either ultrasonically interdigitated anchors or fully threaded titanium anchors during Haglund's deformity excision. Overall, 7 of 14 patients who received an ultrasonically interdigitated anchor reported raw PROMIS (Patient-Reported Outcomes Measurement Information System) scores averaging 14.3, with an average return to ambulation time of 4.2 weeks. Fifteen of 30 patients receiving a fully threaded titanium anchor reported raw PROMIS scores averaging 9.7, with an average return to ambulation time of 3.5 weeks. We found little difference between the outcomes between the 2 anchors and no massive failures or infections in either group, implying that ultrasonically interdigitated anchors are a viable option for Achilles tendon reattachment during Haglund's deformity repair surgery.: Level III: Case control study.
Haglund 畸形是足部疼痛的常见原因，手术干预成功率高。由于早期负重康复与更好的手术结果相关，因此需要评估这些手术中使用的锚钉的完整性，以确保其具有适当的固定强度，从而改善术后结果。超声交错锚钉是一种可生物降解的缝线锚钉，它通过超声技术融化到骨小梁中，只留下微小的生物足迹，在 CT 和 MRI 扫描中干扰较小，固定强度不会丧失。我们对 44 名年龄在 26 岁至 84 岁之间的 Haglund 畸形切除患者进行了回顾性研究，这些患者接受了超声交错锚钉或全螺纹钛锚钉治疗。总体而言，接受超声交错锚钉治疗的 14 名患者中有 7 名报告的原始 PROMIS（患者报告的结果测量信息系统）评分平均为 14.3，平均恢复步行时间为 4.2 周。接受全螺纹钛锚钉治疗的 30 名患者中有 15 名报告的原始 PROMIS 评分平均为 9.7，平均恢复步行时间为 3.5 周。我们发现两种锚钉的结果之间几乎没有差异，两组均无大量失败或感染，这表明超声交错锚钉是 Haglund 畸形修复手术中跟腱再附着的一种可行选择。：III 级：病例对照研究。
