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Retrospective Comparison of Isolated Haglund's Deformity Surgery Versus Combined With Gastrocnemius Recession.
Vesely, Bryanna D; Reardon, Brennan K; Scott, Aaron T; Medda, Ashleigh W.
Afiliación
  • Vesely BD; Resident Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, NC. Electronic address: Bdvesely@wakehealth.edu.
  • Reardon BK; Resident Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, NC.
  • Scott AT; Attending Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, NC.
  • Medda AW; Attending Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, NC.
J Foot Ankle Surg ; 62(4): 719-722, 2023.
Article en En | MEDLINE | ID: mdl-37012168
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 2 groups, 6.1 to 1.5 and 6.8 to 1.8 in the isolated Haglund's and Strayer's 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.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Tendón Calcáneo / Bursitis / Calcáneo / Exostosis / Espolón Calcáneo Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: J Foot Ankle Surg Año: 2023 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Tendón Calcáneo / Bursitis / Calcáneo / Exostosis / Espolón Calcáneo Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: J Foot Ankle Surg Año: 2023 Tipo del documento: Article