Abstract
Insertional Achilles tendinopathy may be associated with Haglund's deformity and result in chronic pain. It is usually refractory to conservative management. The aim of this study was to assess the outcome of calcaneoplasty performed in our hospital. Eight patients were prospectively evaluated pre- and postoperatively using the American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot Score, Visual Analogue Scale (VAS) and Short Form (SF) 36, as well as satisfaction rate. Average follow-up duration was 12.4 months. The mean pre and post-operative AOFAS scores were significantly improved at three and six months. SF 36 improved in most parameters. The postoperative VAS score improved significantly and was 0 at 2 years. The procedure was rated as good to excellent by seven of the subjects. We recommend calcaneoplasty for the treatment of insertional Achilles tendinopathy. Calcaneoplasty, Insertional Achilles tendinopathy, Haglund's deformity.
Highlights
Insertional Achilles tendinopathy refers to pathology at the insertion of the Achilles tendon onto the calcaneum 1
Our study showed that calcaneoplasty provides prompt pain relief for insertional Achilles tendinopathy, as indicated at the three months follow-up visit where the mean Visual Analogue Scale (VAS) decreased from 5.9 to 1.9
The procedure contributed to an overall enhancement of the subjects' health condition
Summary
Insertional Achilles tendinopathy refers to pathology at the insertion of the Achilles tendon onto the calcaneum 1. It occurs as a result of recurrent stress placed upon the attachment site of the Achilles tendon, leading to inflammation, micro tears, swelling and pain. Insertional Achilles tendinopathy may be associated with Haglund’s deformity and result in chronic pain. Methods: Eight patients were prospectively evaluated pre- and postoperatively using the American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot Score, Visual Analogue Scale (VAS) and Short Form (SF) 36, as well as satisfaction rate. Results: The mean pre and post-operative AOFAS scores were significantly improved at three and six months. The postoperative VAS score improved significantly and was 0 at 2 years. Conclusion: We recommend calcaneoplasty for the treatment of insertional Achilles tendinopathy
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