Bi-portal Endoscopic Calcaneoplasty for Haglund's Deformity

TL;DR

A minimally invasive endoscopic procedure improves outcomes for Haglund's deformity, offering faster recovery and better results than traditional surgery.

Contribution

Bi-portal endoscopic calcaneoplasty is presented as an effective alternative to open surgery for Haglund's deformity.

Findings

VAS scores significantly decreased from 6.32 to 0.91 at six months post-surgery.

AOFAS scores improved from 64.36 to 90.01 after six months.

The Fowler-Philip angle decreased from 72.45° to 65.77° postoperatively.

Abstract

Introduction

Haglund’s deformity is an abnormal bony postero-superior calcaneal prominence which causes the posterior heel pain. Surgery is the choice of treatment after failed conservative management. Both open and endoscopic techniques are used to treat this condition. In this article, we discuss endoscopic calcaneoplasty for the management of such cases.

Methods

All included patients underwent bi-portal endoscopic calcaneoplasty. Clinical outcomes were assessed by using the visual analog scale (VAS) score and the American Orthopaedic Foot and Ankle Society (AOFAS) score. The radiological outcome was assessed by a change in the Fowler-Philip angle (FPA). All patients were followed at one month, three months, and six months postoperatively.

Results

A total of 22 patients were included in this prospective study. Patients were followed up to six months postoperatively. The mean VAS score was 6.32 ± 0.65 which was significantly reduced to 0.91 ± 0.68 (p < 0.001) at six months. Similarly, AOFAS Score was improved to 90.01 ± 2.67 (p < 0.001) from 64.36 ± 7.07 preoperatively. The mean Fowler Philip Angle was reduced from 72.45° ± 3.74° to 65.77° ± 2.25° at six months (p < 0.001).

Conclusion

Bi-portal endoscopic calcaneoplasty significantly improves clinical outcomes in Haglund’s deformity. Compared to open procedures, bi-portal endoscopic calcaneoplasty offers several advantages, including shorter recovery times, smaller incisions, and better clinical results for Haglund's deformity.

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