Percutaneous surgery in the treatment of Haglund syndrome

Gomes, Marília Brito; Monteiro, Gabriel Brito de Moura; Neto, José Arteiro

doi:10.30795/jfootankle.2020.v14.1192

Cited by 3 publications

(5 citation statements)

References 32 publications

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“…However, when stratifying based on approach type, our results showed that the open approach to ZO had a complication rate of 10.2%, whereas the percutaneous approach had a reduced complication rate of 5.8%. This was further supported by a review by Agostinho De Lima Gomes et al, 1 which noted a 6.3% complication rate of percutaneous surgery for the treatment of Haglund's deformity.…”

Section: Discussionmentioning

confidence: 70%

“…Complication rates have ranged from 3.1% to 16.7%. 1,3,32,42 However, to our knowledge, no prior review has analyzed and compared the clinical outcomes between percutaneous and open approaches for ZO. The aim of this systematic review was to better inform surgeons’ evidence-based guidelines, and patient expectations, when selecting between the percutaneous vs open ZO.…”

Section: Introductionmentioning

confidence: 99%

“…The aim of this systematic review was to better inform surgeons’ evidence-based guidelines, and patient expectations, when selecting between the percutaneous vs open ZO. 1,3,32,42…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund’s Deformity: A Systematic Review

Bakaes,

Hall,

Jackson

et al. 2024

Foot & Ankle Orthopaedics

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Background: Percutaneous Zadek osteotomy (ZO) has emerged as a surgical treatment of insertional Achilles tendinopathy (IAT) over the last decade. Existing literature is limited regarding the comparison of this approach with the more established, open ZO technique. This systematic review aims to evaluate and compare the current data on open vs percutaneous ZO approaches to help set evidence-based guidelines. Methods: A systematic literature search was performed using the keywords (Zadek osteotomy) OR (Keck and Kelly osteotomy) OR (dorsal closing wedge calcaneal osteotomy) OR (Haglund Deformity) OR (Haglund Syndrome) OR (Insertional Achilles Tendinopathy) and MeSH terms Osteotomy, Calcaneus, Syndrome, Insertional, Achilles tendon, and Tendinopathy. Our search included the following databases: PubMed, Embase, and the Cochrane Library. The PRISMA protocol and the Cochrane Handbook guidelines were followed. All studies included were published from 2009 to 2024 and included the use of open or percutaneous approaches of ZO for the treatment of IAT with at least a 12-month follow-up. The MINORS score criteria were used to evaluate the strength and quality of studies. Results: A total of 17 studies were reviewed, including 611 subjects and 625 ZO procedures. Of these procedures, 81 (11%) subjects had a percutaneous and 544 (89%) subjects had an open ZO. The mean follow-up time was 16.1 months for patients treated with percutaneous ZO and 36.1 months for patients treated with open ZO. Both open and percutaneous studies included in this review showed postoperative improvements in AOFAS, FFI, VISA-A, and VAS scores in patients with IAT. The reported complication rate was 5.8% among patients treated with percutaneous ZO and 10.2% among patients treated with open ZO. Conclusion: Percutaneous ZO is an emerging approach with substantially fewer documented cases compared with the open ZO. Both percutaneous and open ZO appear to be relatively effective treatments for insertional Achilles tendinopathy with Haglund’s deformity. The lower complication rates reported for percutaneous ZO is encouraging. Further investigation with more subjects undergoing percutaneous ZO is clearly needed.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

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Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund’s Deformity: A Systematic Review

Bakaes,

Hall,

Jackson

et al. 2024

Foot & Ankle Orthopaedics

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“…Those in support of MIS approaches cite less pain, better outcomes, quicker return to activity, and increased patient satisfaction. 2 , 10 , 11 , 33 , 37 , 38 , 53 , 71 …”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Approaches to Haglund’s Deformity and Insertional Achilles Tendinopathy: A Contemporary Review

Hall,

Kaplan,

Schipper

et al. 2024

Foot Ankle Int.

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“…Haglund's syndrome is considered a triad of posterosuperior prominence of the calcaneus or Haglund deformity, which is also known as retrocalcaneal bursitis and insertional Achilles tendinopathy [1] . Haglund's syndrome is in usual occurred bilateral and affects the middle-aged individuals with a higher prevalence among women.…”

Section: Introductionmentioning

confidence: 99%

Haglund Syndrome: A Systematic Review of the Current Possible Management

Sindi

Aldairi²

2022

ijirms

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Background: Haglund’s syndrome is considered a triad of posterosuperior prominence of the calcaneus or Haglund deformity, which is also known as retrocalcaneal bursitis and insertional Achilles tendinopathy. However, many cases are resolved depending on the conservative treatment only, in patients with persistent signs and symptoms after six months of conservative management, surgery is required. In this review, we aimed to systematize the possible management of Haglund’s syndrome among studies published after the 2015. Methodology: This is a systematic review of the literature which was conducted following Cochrane Handbook of Systematic Review of Intervention and Preferred Reporting Items for a Systematic Reviews and Meta-Analyses (PRISMA) for selection of the studies. Data were extracted and recorded for a stepwise analysis from each study. Statistical analysis was conducted using IBM SPSS version 260 (IBM Corp., Armonk, N.Y., USA). Results: Through the search of literature, a total of 1474 studies were identified for initial screening. After removal of 1191 duplicated studies, preliminary evaluation was conducted among 283 papers which were available for the title and abstract screening. One- hundred- twenty-one studies (121) were excluded because being research focused on pathologies not related to Haglund’ deformity while 91 studies were excluded because reporting data on surgical management of other hindfoot condition. Therefore, 71 studies were available for full-text analysis and after application of exclusion criteria, 12 studies were available for final evaluation. Conclusion: Surgical correction of Haglund’s syndrome in case of failure of the conservative treatment provides overall good clinical outcomes with higher superiority for minimally invasive approaches which have similar good clinical outcomes in term of AOFAS, VISA, and VAS scores with less rate of complications and failure rate when compared to open surgeries.

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Percutaneous surgery in the treatment of Haglund syndrome

Cited by 3 publications

References 32 publications

Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund’s Deformity: A Systematic Review

Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund’s Deformity: A Systematic Review

Minimally Invasive Approaches to Haglund’s Deformity and Insertional Achilles Tendinopathy: A Contemporary Review

Haglund Syndrome: A Systematic Review of the Current Possible Management

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