Abstract:Objective To investigate the clinical effect of Zadek osteotomy (ZO) in the treatment of Haglund syndrome (HS).Methods A retrospective study was conducted on 17 patients who underwent ZO treatment for HS in the Department of Foot and Ankle Surgery of the Honghui Hospital affiliated to Xi'an Jiaotong University from March 2018 to July 2020 and were finally followed up.11 males and 6 females were included.The age ranged from 23 to 58 years,with an average of (39.7±10.2) years.There were 14 left feet and 3 right feet.The American orthopaedic foot and ankle surgery(AOFAS) ankleposterior foot score and visual analog scale(VAS) were used to evaluate the improvement of foot function and pain before and at the last followup.Measure the range of motion(ROM) of the ankle joint before and after the operation of the affected foot and the ChauveauxLiet (CL) angle of the lateral Xray film of the affected foot.Results No deep infection or osteomyelitis occurred.17 patients were followed up for 12 to 24 months,with an average of (19.3±1.2) months.At the last followup,the AOFAS score increased from (51.2±5.1) to (88.4±4.5),the VAS score improved from (6.4±2.3) to (0.9±1.0),the ankle dorsiflexion activity increased from (23.4±2.4)° to (29.3±1.2)°,the plantar flexion activity changed from (32.4±3.4)° to (33.1±3.5)°,and the CL angle changed from (18.1±1.2)° to (9.3±2.0)°.Conclusion Using ZO to treat HS patients can significantly improve the pain symptoms and ankle function,and slow down the progress of Achilles tendon disease,which is a safe and effective technology.
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