|
KMID : 0361620100450050356
|
|
Journal of the Korean Orthopaedic Association
2010 Volume.45 No. 5 p.356 ~ p.362
|
|
|
Surgical Management of Insertional Achilles Tendinopathy with Haglund’s Deformity: A Preliminary Report
|
|
Lee Jun-Young
Jo Seok-Jung
Yang Hun
|
|
|
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.
|
|
|
KEYWORD
|
|
|
achilles tendon, insertional achilles tendinopathy, Haglund’s deformity, central splitting approach
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|