Zadek osteotomy for the treatment of Haglund’s Syndrome
Although several treatment options described in paper, Haglund’s Syndrome (HS) is a challenging common lower extremity disorder. This study reported the clinical outcomes of Zadek osteotomy (ZO) for the treatment of HS.
This retrospective study included 19 patients who underwent ZO from January 2016 to June 2018. Patients were evaluated using the American Orthopedic Foot Ankle Society ankle-hindfoot scale (AOFAS), Visual Analogue Scale (VAS), ankle range of motion (AROM), and Chauveaux-Liet (CL) angle preoperatively and at final follow-up visit (16.3 ± 4.2) months. Postoperative complications of patients were also recorded.
The ZO exhibited a significant improvement (P༜0.05) in preoperative to postoperative AOFAS (from 53.2 ± 5.4 to 86.4 ± 6.5), VAS ( from 6.3 ± 2.1 to 0.9 ± 1.2 ) scores and CL angle (from 18.2 ± 1.3 to 9.4 ± 2.1 ) degrees, the dorsiflexion of AROM (DAROM) (from 23.4 ± 2.3 to 29.4 ± 1.2) degrees. The planter flexion of AROM (PAROM) (from 32.5 ± 3.5 to 33.2 ± 3.4) degrees (P༞0.05). One postoperative complication was observed: a case of hardware pain in healthy patient. The overall rate of satisfaction after surgery was (94.7%).
ZO is effective and safe procedure for the treatment of HS. This method can be a good option for those patients of HS.
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Posted 23 Jun, 2020
Zadek osteotomy for the treatment of Haglund’s Syndrome
Posted 23 Jun, 2020
Although several treatment options described in paper, Haglund’s Syndrome (HS) is a challenging common lower extremity disorder. This study reported the clinical outcomes of Zadek osteotomy (ZO) for the treatment of HS.
This retrospective study included 19 patients who underwent ZO from January 2016 to June 2018. Patients were evaluated using the American Orthopedic Foot Ankle Society ankle-hindfoot scale (AOFAS), Visual Analogue Scale (VAS), ankle range of motion (AROM), and Chauveaux-Liet (CL) angle preoperatively and at final follow-up visit (16.3 ± 4.2) months. Postoperative complications of patients were also recorded.
The ZO exhibited a significant improvement (P༜0.05) in preoperative to postoperative AOFAS (from 53.2 ± 5.4 to 86.4 ± 6.5), VAS ( from 6.3 ± 2.1 to 0.9 ± 1.2 ) scores and CL angle (from 18.2 ± 1.3 to 9.4 ± 2.1 ) degrees, the dorsiflexion of AROM (DAROM) (from 23.4 ± 2.3 to 29.4 ± 1.2) degrees. The planter flexion of AROM (PAROM) (from 32.5 ± 3.5 to 33.2 ± 3.4) degrees (P༞0.05). One postoperative complication was observed: a case of hardware pain in healthy patient. The overall rate of satisfaction after surgery was (94.7%).
ZO is effective and safe procedure for the treatment of HS. This method can be a good option for those patients of HS.
Figure 1
Figure 2
Figure 3