Insertional Achilles tendonitis is a common pathology treated by foot and ankle surgeons that may require surgical intervention. Literature has shown good outcomes following detachment and reattachment of the Achilles for removal of the exostosis. However, there is minimal literature showing the impact of adding a gastrocnemius recession to the Haglund's resection. The goal of the present study was to retrospectively review the outcomes of an isolated Haglund's resection versus a Haglund's resection combined with a gastrocnemius recession. A retrospective chart review of 54 operative extremities was performed: 29 with isolated Haglund's resection and 25 with a Strayer gastrocnemius recession. We found similar decreases in pain between the 2 groups, 6.1 to 1.5 and 6.8 to 1.8 in the isolated Haglund's and Strayer's group, respectively. We found decreased postoperative Achilles rupture and reoperation rates in the Strayer group but this did not reach statistical significance. We found a statistically significant decreased rate of wound healing complications in the Strayer group, 4% in the Strayer group and 24% in the isolated procedure. In conclusion, adding a Strayer to a Haglund's resection was found to have a statistically significant decrease in wound complications. We recommend future randomized controlled studies to compare the use of a Strayer procedure on postoperative complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1053/j.jfas.2023.03.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Complications Following Surgical Treatment of Haglund's Syndrome With and Without Flexor Hallucis Longus Tendon Transfer.
J Am Acad Orthop Surg Glob Res Rev
December 2024
From the Department of Orthopedic Surgery, Duke University Hospital, Durham, NC.
Background: In the surgical treatment of Haglund syndrome, combining a flexor hallucis longus (FHL) tendon transfer with Achilles tendon may improve plantarflexion strength and reduce strain on the repaired Achilles tendon. However, there is limited research comparing complication rates between surgical approaches with or without concurrent FHL tendon transfer.
Methods: This was retrospective study of patients who underwent surgical management for Haglund syndrome between January 2015 and December 2023.
Higher BMI Is Associated With Wound Breakdown Following Resection of Haglund Deformity.
Foot Ankle Int
November 2024
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Background: Haglund deformity is characterized by an enlarged posterosuperior calcaneus, often with inflammation of the retrocalcaneal bursa and Achilles tendon. This study aims to determine if obesity is associated with an increased rate of complications after Haglund resection.
Methods: A retrospective review was conducted on patients who underwent surgical resection for Haglund deformity from January 2015 to December 2023 at a single academic center.
Endoscopic Calcaneoplasty in Haglund Disease: Surgical Technique, Clinical and Subjective Outcomes.
Foot Ankle Int
October 2024
Hospital Italiano de Buenos Aires, Foot and Ankle Section, Orthopaedics Department, Buenos Aires, Argentina.
Article Synopsis
- Endoscopic procedures for treating Haglund disease have become more popular over the past decade due to their advantages over traditional methods, such as minimizing recovery time and complications.
- A study analyzing 14 patients who underwent endoscopic calcaneoplasty showed significant improvements in pain levels and overall foot function, with scores improving dramatically post-surgery.
- The results indicated that 85.7% of patients experienced positive outcomes, with no complications or need for reoperations, suggesting the technique is effective and reliable for this condition.
The Prognostic Significance of Collagen VI in Pancreatic Ductal Adenocarcinoma.
Pancreas
October 2024
Department of Surgical and Perioperative Sciences/Surgery, Umeå University, Umeå, Sweden.
Objectives: Pancreatic ductal adenocarcinoma (PDAC) is characterized by poor prognosis and lack of biomarkers. A rich desmoplastic tumor stroma is considered a hallmark of PDAC and previous studies have indicated upregulated expression of collagen VI (COL6) in PDAC. COL6 is shown to associate with prognosis in many cancers but has been less extensively studied in PDAC.
View Article and Find Full Text PDFMinimally Invasive Approaches to Haglund's Deformity and Insertional Achilles Tendinopathy: A Contemporary Review.
Foot Ankle Int
June 2024
Prisma Health Orthopedics-Lexington, Lexington, SC, USA.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!