Volume 8 | Issue 1 | Jan – Feb 2020 | Page: 22-24 | Mohan Thadi, Prajwal P. Mane
Authors: Mohan Thadi , Prajwal P. Mane .
 Department Of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
 Department Of Orthopaedics, Kastrurba Medical College, Manipal, Karnataka, India.
Address of Correspondence
Dr. Prajwal P Mane,
Kastrurba Medical College, Manipal, Karnataka, India.
Introduction: Haglund’s deformity is one of the commonly encountered entities in day-to-day clinical practice. Haglund’s deformity is a posterosuperior prominence of the calcaneal tuberosity, it is also known as pump bump or retrocalcaneal bursitis. People who do not respond to the conservative trial may need surgical excision. Partial calcaneal osteotomy is an accepted surgical treatment for Haglund’s deformity. This partial excision may predispose to tendoachilles rupture if intraoperatively, the tendoachilles is injured during the calcaneal osteotomy.
Materials and Methods: Here, we propose our technique of calcaneal osteotomy with the lateral approach minimizing the injury to tendoachilles and also the post-surgical clinical outcome in 28 patients and 30 feet. All the patients were followed up till 1 year of post-operative period and the clinical outcome was analyzed using ankle-hindfoot scale.
Results: The average pre-operative visual analog scale was noted to be 7/10 and the post-operative average visual analog was noted to be 3/10. The average pre-operative ankle-hindfoot scale was 66/100 and the average 1-year post-operative ankle-hindfoot scale was noted to be 87/100. Majority of the patients were asymptomatic at the end of 1 year and none had any post-operative complication.
Conclusion: Calcaneal osteotomy with lateral approach is an effective treatment for refractory Haglund’s deformity provided adequate surgical steps which are followed to minimize the failure rates and to improve the clinical outcomes.
Keywords: Ankle-hindfoot scale, Calcaneal osteotomy, Haglund’s deformity, Retrocalcaneal bursitis, Tendoachilles.
1. BaxterDE, ZingasC. The foot in running.J Am Acad Orthop Surg1995;3:136-45.
2. AndersonJA, SueroE, O’LoughlinPF, KennedyJG. Surgery for retrocalcaneal bursitis: A tendon-splitting versus a lateral approach.Clin Orthop Relat Res2008;466:1678-82.
3. McGarveyWC, PalumboRC, BaxterDE, LeibmanBD. Insertional Achilles tendinosis: Surgical treatment through a central tendon splitting approach.Foot Ankle Int2002;23:19-25.
4. AngermannP. Chronic retrocalcaneal bursitis treated by resection of the calcaneus.Foot Ankle1990;10:285-7.
5. GreenAH, HassMI, TubridySP, GoldbergMM, PerryJB. Calcaneal osteotomy for retrocalcaneal exostosis.Clin Podiatr Med Surg1991;8:659-65.
6. JonesDC, JamesSL. Partial calcaneal ostectomy for retrocalcaneal bursitis.Am J Sports Med1984;12:72-3.
7. PaukerM, KatzK, YosipovitchZ. Calcaneal ostectomy for haglund disease.J Foot Surg1992;31:588-9.
8. KolodziejP, GlissonRR, NunleyJA. Risk of avulsion of the Achilles tendon after partial excision for treatment of insertional tendonitis and haglund’s deformity: A biomechanical study.Foot Ankle Int1999;20:433-7.
9. SellaEJ, CaminearDS, McLarneyEA. Haglund’s syndrome.J Foot Ankle Surg1998;37:110-4.
10. NatarajanS, NarayananVL. Haglund deformity surgical resection by the lateral approach.Malays Orthop J2015;9:1-3.
|How to Cite this article: Thadi M, Mane P P. | Haglund’s Excision: Our Novel Technique. | Journal Of Karnataka Orthopaedic Association | Jan-Feb 2020; 8(1): 22-24|