Surgical Resection of Haglund's Deformity by Achilles Tendon Splitting Approach

MOHEB EL-DEEN A. FADEL, M.D., MAHMOUD T. ALLAM, M.Sc.;; AHMED M. SAMY, M.D., MOHAMED A. QUOLQUELA, M.D.;

doi:10.21608/mjcu.2019.65642

Surgical Resection of Haglund's Deformity by Achilles Tendon Splitting Approach

Document Type : Original Article

Authors

The Department of Orthopaedic Surgery, Faculty of Medicine, Tanta University

10.21608/mjcu.2019.65642

Abstract

Abstract
Background: Haglund's deformity was first described by Patrick Haglund in 1927 [1]. It is also known as retro-calcaneal exostosis. It is one of the causes of posterior heel pain. Several methods have been described for treatment including conserv-ative measures and surgical measures.
Aim of Study: The aim of this study is to evaluate results of surgical resection of Haglund's deformity by Achilles tendon splitting approach.
Patients and Methods: In this prospective study, 21 cases with were Haglund's deformity treated with surgical resection through Achilles tendon splitting approach.
Results: These cases were assessed according to AOFAS score [2], the functional results were graded as excellent in twelve patients (57.1%), good in eight patients (38.1%), fair in one patient (4.8%), with no poor results. The excellent and good results were considered as satisfactory ones while the unsatisfactory included the fair results. Thus, satisfactory results were found in 20 patients (95.2%), and the unsatisfac-tory ones were found in 1 patient (4.8%).
Conclusion: This study proves that central splitting tech-nique for the surgical treatment of Haglund's deformity is an effective treatment with good exposure of retrocalcaneal space, with decrease risk of vascular and nerve injury, and acceptable outcome.

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