Abstract
Insertional Achilles tendonitis is a common pathology treated by foot and ankle surgeons
that may require surgical intervention. Literature has shown good outcomes following
detachment and reattachment of the Achilles for removal of the exostosis. However,
there is minimal literature showing the impact of adding a gastrocnemius recession
to the Haglund's resection. The goal of the present study was to retrospectively review
the outcomes of an isolated Haglund's resection versus a Haglund's resection combined
with a gastrocnemius recession. A retrospective chart review of 54 operative extremities
was performed: 29 with isolated Haglund's resection and 25 with a Strayer gastrocnemius
recession. We found similar decreases in pain between the two groups, 6.1 to 1.5 and
6.8 to 1.8 in the isolated Haglund's and Strayers group, respectively. We found decreased
postoperative Achilles rupture and reoperation rates in the Strayer group but this
did not reach statistical significance. We found a statistically significant decreased
rate of wound healing complications in the Strayer group, 4% in the Strayer group
and 24% in the isolated procedure. In conclusion, adding a Strayer to a Haglund's
resection was found to have a statistically significant decrease in wound complications.
We recommend future randomized controlled studies to compare the use of a Strayer
procedure on postoperative complications.
Key Words
Level of clinical evidence
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Article info
Publication history
Institutional Review Board Approval was obtained from Wake Forest Baptist Medical Center.
Publication stage
In Press Accepted ManuscriptIdentification
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