Treating Haglund's Deformity with percutaneous Achilles tendon decompression: a case series

Sergio, Fabrizio; Catani, Ottorino; Fusini, Federico; Langella, F.; Cautiero, G; Ponzo, Ida; Zanchini, Fabio

doi:10.32098/mltj.04.2018.05

Cited by 13 publications

(20 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two previous studies evidenced similar results for percutaneous calcaneoplasty for insertional tendinopathy of the Achilles tendon associated with Haglund deformity. Sergio et al 29 recently published their results of a similar percutaneous fluoroscopy-guided intervention for Haglund deformity on 21 patients, using the American Orthopaedic Foot & Ankle Society hindfoot score (AOFAS-hindfoot) 36 and VAS and the Fowler-Philip angle (FPa) to evaluate the results of the index surgery. 23 The FPa is the angle between the tangent to the posterosuperior edge of the calcaneus and the calcaneal tuberosity and the tangent to the inferior margin of the calcaneus.…”

Section: Discussionmentioning

confidence: 99%

“…28 Given the risk to damage the Achilles tendon insertion with the burr, percutaneous procedures are not indicated to treat possible intratendinous Achilles tendon ailments; thus, if the Achilles tendon is involved, an open approach should still be considered the gold standard. 29 Surgeon must be aware that shaving of the posterosuperior corner of the calcaneus and drainage of the bone paste requires great care. Bone paste must be removed to avoid inflammation and postoperative calcifications and ossifications.…”

Section: Discussionmentioning

confidence: 99%

“…They concluded that percutaneous treatment for Haglund deformity is reliable and effective at approximately 17 months’ follow-up. 29 Madarevic et al 21 also reported their results of ultrasonography-assisted percutaneous surgery for Haglund deformity in 15 patients using a bone abrader. At 6 months follow-up, the AOFAS and Ogilvie-Harris scores significantly improved, with a high rate of satisfaction.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems

Ferranti¹,

Migliorini

Liuni

et al. 2021

Foot Ankle Int.

View full text Add to dashboard Cite

Background: Percutaneous procedures have been used recently to treat insertional Achilles tendon problems. The present study reports our results of this treatment approach. Methods: Patients undergoing percutaneous calcaneoplasty for insertional Achilles tendon problems were retrieved. Patients completed the visual analog scale (VAS) for pain and the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire before the operative procedure and at the last follow-up. At the last follow-up, we asked the patients whether they were completely satisfied, moderately satisfied, or unsatisfied after the procedure. Complications were also recorded. Results: A total of 27 patients were enrolled. The average follow-up was 26.5 months (range 6-68). The mean age of patients was 56.2 years (24-82). The mean VAS score before surgery was 8.1 ± 0.9 decreasing by the last follow-up to 2.4 ± 2.3 ( P < .0001). The mean VISA-A score improved from 20.7 ± 5.4 to 75.7 ± 25.5 at last follow-up, an improvement of 55% ( P < .0001). At the last follow-up, 84.5% (22 of 27) patients were completely satisfied with the procedure, 7.4% (2 of 27) moderately satisfied, and 11.1% (3 of 27) were not satisfied. These last 3 patients presented recurrence of symptoms, requiring revision surgery. Conclusion: For the selected patients, we found percutaneous calcaneoplasty to be an effective treatment for insertional Achilles tendon problems Level of Evidence: Level III, retrospective study.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems

Ferranti¹,

Migliorini

Liuni

et al. 2021

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…In this review, we included 12 studies [8,[26][27][28][29][30][31][32][33][34][35][36] where only study was systematic review [29] . The pooled studies included 1542 patients with Haglund's symptom with mean age 41.98 years old (Standard deviation of 7.1 years, minimum and maximum age of 32.5 and 59.3 years old).…”

Section: General Characteristics Of the Studiesmentioning

confidence: 99%

“…In this review, 10 studies tested the efficacy of different open surgeries [8,[26][27][28][29][30][31][33][34][35] including central Achilles tendon splitting in three studies, double row suture ancho in two studies, dorsal closing wedge calcaneal osteotomy in two studies, resection of calcaneal tuberosity in two study and posterosuperior prominence resection (PPR) in one study. Sergi o1 [36] 2018 Georgiannos et al [28] Open surgical procedures 59.5 95.7 0.001 65.9 90.2 0.001 NA NA NA * Significant in p value ≤ 0.05.…”

Section: Management Techniques and Outcomes 1 Open Surgeriesmentioning

confidence: 99%

Haglund Syndrome: A Systematic Review of the Current Possible Management

Sindi

Aldairi²

2022

ijirms

View full text Add to dashboard Cite

Background: Haglund’s syndrome is considered a triad of posterosuperior prominence of the calcaneus or Haglund deformity, which is also known as retrocalcaneal bursitis and insertional Achilles tendinopathy. However, many cases are resolved depending on the conservative treatment only, in patients with persistent signs and symptoms after six months of conservative management, surgery is required. In this review, we aimed to systematize the possible management of Haglund’s syndrome among studies published after the 2015. Methodology: This is a systematic review of the literature which was conducted following Cochrane Handbook of Systematic Review of Intervention and Preferred Reporting Items for a Systematic Reviews and Meta-Analyses (PRISMA) for selection of the studies. Data were extracted and recorded for a stepwise analysis from each study. Statistical analysis was conducted using IBM SPSS version 260 (IBM Corp., Armonk, N.Y., USA). Results: Through the search of literature, a total of 1474 studies were identified for initial screening. After removal of 1191 duplicated studies, preliminary evaluation was conducted among 283 papers which were available for the title and abstract screening. One- hundred- twenty-one studies (121) were excluded because being research focused on pathologies not related to Haglund’ deformity while 91 studies were excluded because reporting data on surgical management of other hindfoot condition. Therefore, 71 studies were available for full-text analysis and after application of exclusion criteria, 12 studies were available for final evaluation. Conclusion: Surgical correction of Haglund’s syndrome in case of failure of the conservative treatment provides overall good clinical outcomes with higher superiority for minimally invasive approaches which have similar good clinical outcomes in term of AOFAS, VISA, and VAS scores with less rate of complications and failure rate when compared to open surgeries.

show abstract

Endoscopic calcaneoplasty for the treatment of Haglund’s deformity provides better clinical functional outcomes, lower complication rate, and shorter recovery time compared to open procedures: a systematic review

Alessio-Mazzola

Russo

Capello

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The aim of this research is to report the clinical outcome following surgical correction of Haglund's deformity summarising diferent surgical strategies and comparing clinical outcomes, failures, complications and return to activities of patients underwent open and endoscopic techniques. Methods A systematic search of the literature was conducted using eight diferent databases. Thirty-ive studies were included in the systematic review. A total of 1260 ankles of 1147 patients were grouped in accordance with the surgical approach (open, endoscopic, or percutaneous). ResultsThe overall mean age was 44.8 ± 8.2 (range 14.9-82) years with a mean follow-up of 30.9 ± 17.1 (range 3-132) months. Analysis of clinical outcomes of open and endoscopic techniques demonstrated signiicant diferences of AOFAS (87.1 ± 5.9 versus 90.7 ± 4.2 points; P < 0.001), complications (15.5% versus 4.1%; P < 0.001), failures (6.0% versus 1.2%; P < 0.001), time to return to daily activities (17.2 ± 9.3 versus 6.3 ± 1.0 weeks; P < 0.001) and time to return to sport (20.7 ± 3.3 versus 11.9 ± 0.3 weeks; P < 0.001) in the studies that reported these speciic outcome measures. ConclusionSurgical correction of Haglund's deformity provides overall good clinical results and high subjective satisfaction. Endoscopic procedures demonstrated better inal AOFAS, a lower rate of complications and failures, and shorter recovery time when compared to open techniques. Level of evidence Level IV.

show abstract

Treating Haglund's Deformity with percutaneous Achilles tendon decompression: a case series

Cited by 13 publications

References 17 publications

Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems

Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems

Haglund Syndrome: A Systematic Review of the Current Possible Management

Endoscopic calcaneoplasty for the treatment of Haglund’s deformity provides better clinical functional outcomes, lower complication rate, and shorter recovery time compared to open procedures: a systematic review

Contact Info

Product

Resources

About