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Clin Orthop Relat Res. 2008 Jul;466(7):1678-82. doi: 10.1007/s11999-008-0281-9. Epub 2008 May 9.

Surgery for retrocalcaneal bursitis: a tendon-splitting versus a lateral approach.

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  • 1Department of Foot and Ankle Surgery, Hospital for Special Surgery, 523 East 72nd Street, New York, NY 10021, USA.

Abstract

For patients with refractory retrocalcaneal bursitis (Haglund's syndrome), the most effective surgical approach has not been defined. We asked whether patients undergoing the tendon-splitting approach and the lateral approach would have comparably effective relief of pain for both types of calcaneal ostectomies. We retrospectively reviewed 30 patients (31 feet) who underwent the tendon-splitting approach and compared their results with 32 previous patients (35 feet) who had a lateral incision. Minimum followup was 12 months (mean, 16 months; range, 12-23 months) for the tendon-splitting group and 15 months (mean, 51 months; range, 15-109 months) for the lateral group. The mean American Orthopaedic Foot and Ankle Society score improved from 43 points preoperatively to 81 points (range, 8-100 points) postoperatively in the tendon-splitting group and from 54 points to 86 points (range, 55-100 points) in the lateral group. The mean physical component score of the Short Form-36, version 2, at followup was 52 (range, 22-61) in the tendon-splitting group and 49 (range, 34-63) in the lateral group. The median return to normal function was 4.1 months (range, 3-13 months) in the tendon-splitting group and 6.4 months (range, 4-20 months) in the lateral group. Both approaches to calcaneal ostectomy provided symptomatic pain relief. However, patients in the tendon-splitting group returned to normal function quicker than patients in the lateral group.

LEVEL OF EVIDENCE:

Level III, retrospective comparative study.

PMID:
18465183
[PubMed - indexed for MEDLINE]
PMCID:
PMC2505264
Free PMC Article
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