Comparison of Lateral and Central Achilles Tendon–Splitting Approaches in the Treatment of Haglund Deformity

Comparison of Lateral and Central Achilles Tendon–Splitting Approaches in the Treatment of Haglund Deformity

Background: This study aimed to compare the complications and outcomes of lateral and central Achilles tendon–splitting approaches for the treatment of Haglund syndrome. Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients...

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Veröffentlicht in:Foot & ankle international 2024-08, Vol.45 (8), p.845-851
Hauptverfasser: Kilic, Enver, Bingol, Olgun, Ozdemir, Guzelali, Deveci, Alper, Durgal, Atahan, Karahan, Taha Esref
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container_issue 8
container_start_page 845
container_title Foot & ankle international
container_volume 45
creator Kilic, Enver
Bingol, Olgun
Ozdemir, Guzelali
Deveci, Alper
Durgal, Atahan
Karahan, Taha Esref
description Background: This study aimed to compare the complications and outcomes of lateral and central Achilles tendon–splitting approaches for the treatment of Haglund syndrome. Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients undergoing lateral approach surgery were included in group 1, whereas patients undergoing central Achilles tendon-splitting approach surgery were included in group 2. Surgical outcomes of the patients were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle hindfoot scale, visual analog pain scale (VAS), and Victorian Institute of Sport Assessment–Achilles (VISAA) scores. In addition, preoperative and final follow-up scores were compared. Results: The study included 66 patients: 32 (14 females, 18 males) underwent surgery using the lateral approach in group 1, whereas in group 2, 34 patients (18 females, 16 males) underwent surgery using the central Achilles tendon–splitting approach. There was a significant statistical difference in the AOFAS, VISAA, and VAS scores between preoperative and final follow-up for both group 1 and group 2 (P 
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Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients undergoing lateral approach surgery were included in group 1, whereas patients undergoing central Achilles tendon-splitting approach surgery were included in group 2. Surgical outcomes of the patients were evaluated using the American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle hindfoot scale, visual analog pain scale (VAS), and Victorian Institute of Sport Assessment–Achilles (VISAA) scores. In addition, preoperative and final follow-up scores were compared. Results: The study included 66 patients: 32 (14 females, 18 males) underwent surgery using the lateral approach in group 1, whereas in group 2, 34 patients (18 females, 16 males) underwent surgery using the central Achilles tendon–splitting approach. There was a significant statistical difference in the AOFAS, VISAA, and VAS scores between preoperative and final follow-up for both group 1 and group 2 (P &lt; .001, P &lt; .001, P &lt; .001, P &lt; .001, respectively). Group 1 had a small (0.76) relative increase in VAS score compared with group 2 (P = .033). There was no significant difference between the complication rates of group 1 and group 2. Conclusion: In our study, we found the lateral approach and central Achilles tendon–splitting approaches to be safe and effective in the surgical treatment of Haglund syndrome without clinically meaningful differences in outcomes or complication rates.</description><identifier>ISSN: 1071-1007</identifier><identifier>ISSN: 1944-7876</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.1177/10711007241250003</identifier><identifier>PMID: 38721829</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><ispartof>Foot &amp; ankle international, 2024-08, Vol.45 (8), p.845-851</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-458577c91eb45a9099bd112e59c0e92e0a76643f0c0679e7d46ada24f58097033</cites><orcidid>0000-0003-1720-1709</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10711007241250003$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10711007241250003$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38721829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kilic, Enver</creatorcontrib><creatorcontrib>Bingol, Olgun</creatorcontrib><creatorcontrib>Ozdemir, Guzelali</creatorcontrib><creatorcontrib>Deveci, Alper</creatorcontrib><creatorcontrib>Durgal, Atahan</creatorcontrib><creatorcontrib>Karahan, Taha Esref</creatorcontrib><title>Comparison of Lateral and Central Achilles Tendon–Splitting Approaches in the Treatment of Haglund Deformity</title><title>Foot &amp; ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Background: This study aimed to compare the complications and outcomes of lateral and central Achilles tendon–splitting approaches for the treatment of Haglund syndrome. Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients undergoing lateral approach surgery were included in group 1, whereas patients undergoing central Achilles tendon-splitting approach surgery were included in group 2. Surgical outcomes of the patients were evaluated using the American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle hindfoot scale, visual analog pain scale (VAS), and Victorian Institute of Sport Assessment–Achilles (VISAA) scores. In addition, preoperative and final follow-up scores were compared. Results: The study included 66 patients: 32 (14 females, 18 males) underwent surgery using the lateral approach in group 1, whereas in group 2, 34 patients (18 females, 16 males) underwent surgery using the central Achilles tendon–splitting approach. There was a significant statistical difference in the AOFAS, VISAA, and VAS scores between preoperative and final follow-up for both group 1 and group 2 (P &lt; .001, P &lt; .001, P &lt; .001, P &lt; .001, respectively). Group 1 had a small (0.76) relative increase in VAS score compared with group 2 (P = .033). There was no significant difference between the complication rates of group 1 and group 2. 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Methods: Patients who underwent surgery for Haglund syndrome between June 2012 and June 2022 were included in the study. Patients undergoing lateral approach surgery were included in group 1, whereas patients undergoing central Achilles tendon-splitting approach surgery were included in group 2. Surgical outcomes of the patients were evaluated using the American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle hindfoot scale, visual analog pain scale (VAS), and Victorian Institute of Sport Assessment–Achilles (VISAA) scores. In addition, preoperative and final follow-up scores were compared. Results: The study included 66 patients: 32 (14 females, 18 males) underwent surgery using the lateral approach in group 1, whereas in group 2, 34 patients (18 females, 16 males) underwent surgery using the central Achilles tendon–splitting approach. 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title Comparison of Lateral and Central Achilles Tendon–Splitting Approaches in the Treatment of Haglund Deformity
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