OUTCOMES OF SURGICAL MANAGEMENT OF HAGLUND’S TRIAD BY USING ACHILLES TENDON CENTRAL SPLITTING APPROACH ANDREATTACHING WITH SUTURE ANCHORS - A PROSPECTIVE STUDY

Abstract

Posterosuperior calcaneal prominence, also known as Haglund’s deformity, can often lead to retrocalcaneal bursitis, a significant cause of posterior heel pain. Surgery is indicated for symptomatic patients, after a period of conservative treatment including analgesia, physiotherapy, activity and/or shoe wear modification has failed. Surgical options include both open and endoscopic techniques, and typically involve excision of the retrocalcaneal bursa, resection of the calcaneal prominence, and debridement of the diseased Achilles tendon.
In our study, weevaluated the outcomes of surgical management of Haglund's triad using Achilles tendoncentral splitting approach with Achilles tendon partial detachment and debridement, excision of the retrocalcaneal bursa, resection of Haglund's prominence, and reattachment of the Achilles tendon with anchor sutures. A total of 22 patients who came to OPDwere taken into the study, the surgical outcomes of whom were evaluated and postoperative followupwas done .
The VisualAnalogScale (VAS)pain score, and American Orthopaedic Foot and Ankle Society(AOFAS) Ankle-Hindfoot scale score were collected preoperatively, 6 months postoperatively and at the last visit. Significant improvement was found in the mean VAS pain score, and average AOFAS Ankle-Hindfoot scale score. The technique of excision of Haglund’s lesion we used, not only provided good pain relief and functional improvement, but also enhanced thepatients’ daily activity of living. More research is required to further evaluate the outcomes of our surgical approach to treat Haglund's triad and the possible risk factors.