Bevoni Roberto, Artioli Elena, Censoni Davide, Di Ponte Marco, Caravelli Silvio, Mosca Massimiliano
Orthopaedic Department, IRCCS Istituto Ortopedico Rizzoli, 40010 Bentivoglio, Italy.
IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Medicina (Kaunas). 2025 Aug 11;61(8):1445. doi: 10.3390/medicina61081445.
The surgical approach for Haglund's triad remains a topic of ongoing debate. This study presents pioneering data on Achilles tendon reattachment using the SpeedBridge technique following partial detachment, retrocalcaneal bursa excision, and Haglund prominence resection in patients with Haglund's triad. A retrospective analysis was conducted on patients operated on between March 2019 and March 2022, encompassing demographic data and preoperative and 6-month and 12-month postoperative assessments of the VAS (Visual Analog Scale), AOFAS (American Orthopedic Foot & Ankle Society) score, and SF-36. Nine patients (three females and six males) with a mean age of 53.8 years underwent surgery, with a mean follow-up of 34 months. The results indicated a significant improvement ( < 0.0001) in the VAS, AOFAS, and SF-36 at the 12-month follow-up. Taking into account the limitations of the study, including its retrospective design and the small sample size, the use of SpeedBridge for Achilles tendon reattachment, alongside the aforementioned procedures, demonstrated promising outcomes. These findings warrant further investigation in future randomized studies with larger sample sizes to confirm their efficacy.
对于Haglund三联征的手术方法仍是一个持续争论的话题。本研究提供了关于在Haglund三联征患者中,采用SpeedBridge技术进行跟腱部分离断后重新附着、切除跟腱后滑囊以及切除Haglund隆突的开创性数据。对2019年3月至2022年3月期间接受手术的患者进行了回顾性分析,包括人口统计学数据以及术前、术后6个月和12个月的视觉模拟量表(VAS)、美国矫形足踝协会(AOFAS)评分和SF-36评估。9例患者(3例女性和6例男性)平均年龄53.8岁接受了手术,平均随访34个月。结果表明,在12个月随访时,VAS、AOFAS和SF-36均有显著改善(<0.0001)。考虑到本研究的局限性,包括其回顾性设计和小样本量,在上述手术的同时使用SpeedBridge进行跟腱重新附着显示出了有前景的结果。这些发现值得在未来更大样本量的随机研究中进一步探究以证实其疗效。