“STUDY OF FUNCTIONAL OUTCOME OF SURGICAL EXCISION OF THE POSTERIOR CALCANEAL TUBEROSITY THROUGH A MEDIAL LONGITUDINAL INCISION WITH DEBRIDEMENT, REATTACHMENT OF THE ACHILLES TENDON USING BONE ANCHORS IN HAGLUND'S DEFORMITY”

Abstract

The aim of this study of functional outcome of surgical excision of the posterior calcaneal tuberosity through a medial longitudinal incision with debridement, reattachment of the Achilles tendon using bone anchors in haglung deformity. Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum. Haglund deformity is a prominence in the postero superolateral aspect of the calcaneum, causing a painful bursitis, which may be difcult to treat by non-operative measures alone. Various surgical methods are available for effective treatment of refractory Haglund's deformity. This study is to evaluate whether adequate resection of Haglund deformity by a lateral approach and reattachment of the Achilles tendon using bone anchor, provides good to excellent results. During the period from 2021 to 2022, 30 patients with had undergone resection of Haglund deformity using lateral approach and the outcome was analysed using AOFAS Ankle-Hind Foot Scale. The AOFAS ankle hind foot scale was employed to evaluate the patient's outcome. The AOFAS ankle- hind foot score evaluates pain (40 points), function (50 points) and alignment (10 points).The mean AOFAS score at the follow up was 90/100, with the majority of patients reporting alleviation of pain at one year follow up. The medial approach to calcaneal ostectomy can be an effective treatment for those suffering from refractory Haglund deformity. However, the patient must be made aware of the duration of recovery being long. Complications included one recurrence of painful prominence, one wound infection, and one incisional neuroma. Surgical management consisted of excision of the posterior calcaneal tuberosity through a lateral longitudinal incision with debridement, reattachment of the Achilles tendon using bone anchors, and 4 weeks of postoperative immobilization. The outcome of these cases demonstrated that in those patients who fail nonoperative treatment, surgical treatment of Haglund's deformity produces a predictably good surgical result when performed using the technique described