Comparison of Lateral and Central Achilles Tendon–Splitting Approaches in the Treatment of Haglund Deformity

Author:

Kilic Enver1ORCID,Bingol Olgun1,Ozdemir Guzelali1,Deveci Alper2,Durgal Atahan1,Karahan Taha Esref1

Affiliation:

1. Department of Orthopedics and Traumatology, Ankara Bilkent City Hospital, Ankara, Turkey

2. Department of Orthopedics and Traumatology, Private Ortadogu Hospital, Ankara, Turkey

Abstract

Background: This study aimed to compare the complications and outcomes of lateral and central Achilles tendon–splitting approaches for the treatment of Haglund syndrome. Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients undergoing lateral approach surgery were included in group 1, whereas patients undergoing central Achilles tendon-splitting approach surgery were included in group 2. Surgical outcomes of the patients were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scale, visual analog pain scale (VAS), and Victorian Institute of Sport Assessment–Achilles (VISAA) scores. In addition, preoperative and final follow-up scores were compared. Results: The study included 66 patients: 32 (14 females, 18 males) underwent surgery using the lateral approach in group 1, whereas in group 2, 34 patients (18 females, 16 males) underwent surgery using the central Achilles tendon–splitting approach. There was a significant statistical difference in the AOFAS, VISAA, and VAS scores between preoperative and final follow-up for both group 1 and group 2 ( P < .001, P < .001, P < .001, P < .001, respectively). Group 1 had a small (0.76) relative increase in VAS score compared with group 2 ( P = .033). There was no significant difference between the complication rates of group 1 and group 2. Conclusion: In our study, we found the lateral approach and central Achilles tendon–splitting approaches to be safe and effective in the surgical treatment of Haglund syndrome without clinically meaningful differences in outcomes or complication rates.

Publisher

SAGE Publications

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3