Endoscopic Management of Patients with Haglund’s Disease: A Prospective Study
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Conventional surgical management of Haglund’s disease (retrocalcaneal bursitis) consists of an open excision of the inamed bursa and resection of the posterosuperior calcaneal tuberosity. Endoscopic management has shown beer outcomes with decreased morbidity and rehabilitation time. Material and Methods: A total of 25 patients (30 heels) who had retrocalcaneal bone spur and bursitis unrelieved by initial conservative treatment for a minimum of 6 months were managed by endoscopic resection. One lateral and one medial endoscopic portals were created, around the posterosuperior portion of the calcaneum to access the retrocalcaneal space. e inamed bursal tissue was identied and debrided, and the prominent bone was resected using endoscopic shavers. e American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale was used for the evaluation of the patients before and aer the surgeries. Results: The mean follow-up was of 12 months. 22 patients (27 heels) were available for follow-up. e AOFAS scores averaged 67 preoperatively and 95 postoperatively. ere were 22 excellent results, four good results, and one average result. No major and only two minor complications occurred. Conclusions: The endoscopic debridement for the management of Haglund’s deformity and associated retrocalcaneal bursitis is a recommended surgical procedure having low patient morbidity, early recovery, and high patient satisfaction.
Authors and Affiliations
Sukhvinder Singh Basran, Imran Sajid, Pankaj Bansal
Keywords
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