跟腱Haglund病的手术治疗

Surgical Treatment of Haglund’s Syndrome of the Achilles Tendon

目的:研究跟腱Haglund病的手术治疗效果。方法:21例跟腱Haglund病患者保守治疗无效后采用切开或关节镜手术治疗。术前测量Fowler-Phillip角和斜平行线,术前术后分别进行VAS评分、Tegner评分和VISA-A评分。结果:术后平均随访(47.5±16.7)个月(23-72个月),与术前相比,VAS评分显著降低,Tegner评分和VISA-A评分显著提高,优良率95.2%。结论:跟腱Haglund病手术治疗可获得良好的临床效果,但需根据跟腱的病变情况确定采取关节镜或切开手术。

Objective To study the surgical effect of Haglund＇s syndrome of the Achilles tendon. Methods Twenty-one cases underwent open or arthroscopie surgical treatment. The Fowler-Phillip angle and parallel pitch line were measured preoperatively. The visual analog scale （VAS）,Tegner score and VISA-A score for Achilles tendinopathy were assessed preoperatively and postoperatively. Patients were followed up for average （47.5±16.7） months （23-72 months）. Results VAS,Tegner score and VISA-A score improved significantly. 95.2% of patients presented excellent or good results. Conclusion Surgical treatment for Haglund＇s syndrome can reach satisfactory result. It depends on the Achilles tendinopathy to choose arthroseopie or open surgery.