Zadek截骨术治疗Haglund综合征的临床疗效

Abstract
Figure/Table
References (0)
Related Citation (1)

Download: PDF (4389 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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) ankleposterior foot score and visual analog scale(VAS) were used to evaluate the improvement of foot function and pain before and at the last followup.Measure the range of motion(ROM) of the ankle joint before and after the operation of the affected foot and the ChauveauxLiet (CL) angle of the lateral Xray 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 followup，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.

Key words： Zadek osteotomy Haglund syndrome ankle's range of motion

Corresponding Authors: Wang Junhu

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Zheng Weixin
	Zhang Yan
	Liang Jingqi
	Zhao Hongmou
	Yang Jie
	Wang Xinwen
	Liang Xiaojun
	Wang Junhu

Cite this article:

Zheng Weixin,Zhang Yan,Liang Jingqi, et al. Clinical Effect of Zadek Osteotomy on Haglund Syndrome[J]. sygkzz, 2023, 29(01): 19-.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I01/19

［1］Haglund P.Beitrag zur Klinik der Achillessehne［J］.Z Orthop Chir，1928(49)：49-58.
［2］Sayana MK，Maffulli N.Insertional achilles tendinopathy［J］.Foot Ankle Clinics，2005，10(2)：309-320.
［3］Syed TA，Perera A.A proposed staging classification for minimally invasive management of Haglund's syndrome with percutaneous and endoscopic surgery［J］.Foot and Ankle Clinics，2016，21(3)：641-664.
［4］Ahn JH，Ahn CY，Byun CH，et al.Operative treatment of haglund Syndrome with central achilles tendonsplitting approach［J］.J Foot Ankle Surg，2015，54(6)：1053-1056.
［5］Zadek I.An operation for the cure of achillobursitis［J］.Am J Surg，1939，43(2)：542-546.
［6］An A，Jjc B，Jzg B，et al.Percutaneous zadek osteotomy for the treatment of insertional achilles tendinopathy［J］.Foot and Ankle Surg，2020，26(7)：818-821.
［7］Keck SW，Kelly PJ.Bursitis of the posterior part of the heel：evaluation of surgical treatment of eighteen patients［J］.J Bone Joint Surg(Am)，1965，47(2)：267-273.
［8］Kitaoka HB，Alexander IJ，Adelaar RS，et al.Clinical rating systems for the anklehindfoot，midfoot，hallux，and lesser toes［J］.Foot ankle international.1994，15(7)：349-53.
［9］Budiman-Mak E，Conrad KJ，Roach KE.The foot function index：A measure of foot pain and disability.［J］.J.Clin Epidemiol，1991，44(6)：561-570.
［10］Vaishya R，Agarwal AK，Azizi AT，et al.Haglund's Syndrome：A commonly seen mysterious condition［J］.Cureus，2016，8(10)：e820.
［11］Bah I，Kwak ST，Chimenti RL，et al.Mechanical changes in the Achilles tendon due to insertional Achilles tendinopathy［J］.J Mech Behav Biomed Mater，2016(53)：320-328.
［12］Maynou C，Mestdagh H，Dubois HH，et al.Is calcaneal osteotomy justified in Haglund's disease?［J］.Revue De Chirurgie Orthopédique Et Réparatrice De L Appareil Moteur，1998，84(8)：734-738.
［13］Kendal AR，Khalid A，Ball T，et al.Complications of minimally invasive calcaneal osteotomy versus open osteotomy［J］.Foot Ankle Int，2015，36(6)：685-690.
［14］Gutteck N，Zeh A，Wohlrab D，et al.Comparative results of percutaneous calcaneal osteotomy in correction of hindfoot deformities［J］.Foot Ankle Int，2019，40(3)：276-281.
［15］Ge Zilu，Ma Lin，Tang Hong，et al.Comparison of dorsal closing wedge calcaneal osteotomy versus posterosuperior prominence resection for the treatment of Haglund syndrome［J］.J Orthop Surg Res，2020，15(1)：168.
［16］Lin C，Ma L，Chen W，et al.A comparative study of the calcaneal closing-wedge calcaneal osteotomy versus posterior-superior prominence removal in both sides with Haglund syndrome［J］.Zhonghua Yi Xue Za Zhi，2017，97(35)：2733-2736.