Abstract
We evaluated the surgical outcomes of Haglund's triad using a central tendon-splitting
approach, with Achilles tendon partial detachment and debridement, excision of the
retrocalcaneal bursa, resection of Haglund's prominence, and reattachment of the Achilles
tendon. The medical records of 22 patients (22 heels) who had undergone surgical correction
of Haglund's triad from January 2010 to December 2015 were reviewed retrospectively.
The visual analog scale pain score, American Orthopaedic Foot and Ankle Society (AOFAS)
Ankle-Hindfoot scale score, and 36-item Short-Form Health Survey physical and mental
component scores were prospectively collected preoperatively, 6 months postoperatively,
and at the last visit. The scores of a subjective question involving satisfaction
were prospectively collected at the last visit. Possible risk factors were also evaluated.
We reviewed the data from 12 females and 10 males, with the mean age of 59.2 ± 7.3 years
and a mean follow-up duration of 15.1 ± 4.6 months. Significant improvement was found
in the mean visual analog scale pain score, average American Orthopaedic Foot and
Ankle Society Ankle-Hindfoot scale score, and 36-item Short-Form Health Survey physical
component scale score. The overall satisfaction rate was 77.3% (17 of 22). Postoperative
complications included 2 cases of delayed wound healing and 1 case of sensation loss
over the heel wound. No Achilles tendon rupture or wound infection developed. Gender
and body mass index did not affect the surgical outcomes. The surgical technique we
used for Haglund's triad provided effective pain relief, function improvement, and
overall enhancement of patients' health condition. More research is required to further
evaluate the outcomes of our surgical approach to treat Haglund's triad and the possible
risk factors.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 11, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
