Surgical Management of Insertional Achilles Tendinopathy with Haglund's Deformity: A Preliminary Report.
10.4055/jkoa.2010.45.5.356
- Author:
Jun Young LEE
1
;
Sueng Hwan JO
;
Hoon YANG
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Chosun University, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
achilles tendon;
insertional achilles tendinopathy;
Haglund's deformity;
central splitting approach
- MeSH:
Achilles Tendon;
Animals;
Ankle;
Congenital Abnormalities;
Debridement;
Follow-Up Studies;
Humans;
Tendinopathy;
Tendons
- From:The Journal of the Korean Orthopaedic Association
2010;45(5):356-362
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We wanted to report on treatment outcomes in insertional Achilles tendinopathy patients with Haglund's deformity that were operated on using a central achilles tendon splitting approach. MATERIALS AND METHODS: We enrolled six cases of insertional tendinopathy with concomitant Haglund's disease who underwent an operation between January, 2007 and November, 2008 and for whom follow-up duration for more than 1 year were available. The mean age was 41.5 (21-62) years; the mean follow-up period was 16.3 (12-24) months. Resection of retrocalcaneal bony prominences and inflamed bursa with debridement of degenerative tendons was done using central splitting approach in all cases. A lateral ankle radiograph was used to assess the amount of bony resection. Clinical and functional evaluations were done before and after the operation. RESULTS: In all cases, retrocalcaneal bony prominences were completely resected. Clinical and functional outcomes were significantly improved. One case had a mild tingling distal to the operative lesion. There were no other complications. CONCLUSION: A central splitting approach is an efficient procedure that can provide sufficient exposure to remove pathologic lesions in patients with insertional Achilles tendinopathy accompanying Haglund's disease.
