Surgical Methods Of Management Of Haglund Deformity

Abstract

As a result of its great size, significant functional demands when walking, and a limited blood supply, Achilles tendons are particularly vulnerable to acute and chronic damage. Pain at the back of the heel is a frequent ailment that may be caused by a number of things. When it comes to dealing with Haglund deformity, this systematic review of the literature aims to address several treatment options, including conservative care and surgical procedures that are either open or minimally invasive. Methods: A thorough literature search was followed by study selection, study characteristics recording, and data extraction on clinical outcomes. Results: Patients' ages varied from 27.7 to 54.8 years across all trials, which may be attributed to the disease's complexity. There was a wide variation in the number of feet that were included in each investigation. Each research's follow-up period (in months) ranges from 5.2 to 57.4 months, depending on the kind and purpose of the investigation. Female predominance was evident. Operation times varied from 28.3 to 68 minutes in just six trials. Endoscopic procedures took longer to complete during surgery. Five research compared preoperative and postoperative pain using the Vas score, which dropped considerably at the conclusion of the follow-up period in all investigations. Postoperative AOFAS scores were somewhat higher for endoscopic procedures than for open ones, although the difference was not statistically significant. After conservative therapy has failed, operational intervention may be necessary in the case of Haglund's illness, as we found in our systematic review. It is the goal of management to get an athlete back to their pre-injury level of activity in the shortest amount of time feasible without substantial discomfort. For Haglund's illness, endoscopic and open calcaneoplasty are effective treatments. Clinical outcomes and postoperative complications were not significantly different between the two groups, either. In the treatment of Haglund's illness, both endoscopic and open calcaneoplasty proved to be safe and successful.