Surgical resection of Haglund deformity by lateral approach: our institutional experience on 29 heels

Authors

  • Naseer A. Mir Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India
  • Nadeem Ali Hospital for Bone and Joint Surgery (GMC Srinagar), Barzulla, Srinagar, Jammu and Kashmir, India
  • Kafeel Khan Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India
  • Tahir A. Dar Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India
  • Rouf I. Khandy Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India
  • Shabir A. Dhar Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20182519

Keywords:

Haglund, Pump bump, Retrocalcaneal bursitis, Calcaneal osteotomy, Achilles tendon

Abstract

Background: Haglund deformity is a common cause of posterior heel pain and consists of a constellation of soft tissue and osseous abnormalities. The treatment starts with conservative approach and ends with surgical treatment in case conservative treatment fails and the symptoms are bothersome. Different surgical procedures and approaches have been used for this deformity. But in the literature, the results have been inconsistent. In this study we evaluated the clinical and functional outcome of osteotomy of the calcaneal tuberosity with debridement of the retrocalcaneal bursa and the Achilles tendon using a lateral approach at our institute.

Methods: A total of 29 feet in 25 patients that underwent surgical procedure from August 2013 to March 2017 at our institute were included in this study. The clinical and functional outcome was evaluated using AOFAS ankle-hind foot scale.

Results: The mean AOFAS ankle-hind foot score had improved by 32 points from the pre-operative mean score, with a mean score of 86 at the final follow up of one year. Five out of 29 operated feet had superficial surgical site infection in the postoperative period that responded to antibiotic therapy and regular antiseptic dressings. One patient had local betadine allergy.

Conclusions: We conclude lateral approach to debridement and calcaneal tuberosity resection is an effective method with good clinical and functional outcome in patients with refractory Haglund deformity. 

Author Biographies

Naseer A. Mir, Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

Orthopaedics

Professor

Nadeem Ali, Hospital for Bone and Joint Surgery (GMC Srinagar), Barzulla, Srinagar, Jammu and Kashmir, India

Orthopaedics

Lecturer

Kafeel Khan, Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

Orthopaedics

Junior Resident

Tahir A. Dar, Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

Orthopaedics

Assistant Professor

Rouf I. Khandy, Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

Orthopaedics

Junior Resident

Shabir A. Dhar, Department of Orthopaedics, SKIMS Medical College and Hospital Bemina, Srinagar, Jammu and Kashmir, India

Orthopaedics

Associate Professor

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Published

2018-06-23

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Original Research Articles