内镜下跟骨后上结节成形减压术治疗顽固性Haglund综合征

Arthroscopy Cleaning Calcaneal Tubercle on Individualized Forming after Decompression Treatment of Intractable Haglund's Syndrome of the Achilles Tendon

目的研究内镜下跟骨后上结节成形减压术治疗顽固性Haglund综合征的手术治疗效果。方法我科于2013年1月至2014年8月对22例顽固性Haglund综合征患者采用内镜下跟骨后上结节成形减压术治疗,其中男14例,女8例;年龄15~64岁,平均41.7岁。对22例患者术前、术后均进行美国足踝外科协会（American orthopaedic foot and ankle society,AOFAS）踝-后足功能评分。结果所有患者均获得随访,随访时间6~18个月,平均13.6个月。术前AOFAS踝-后足功能评分平均56分,术后平均86.4分,评分明显提高。优16例,良4例,可2例,优良率为90.9%。结论内镜下跟骨后上结节成形减压术治疗顽固性Haglund综合征可获得良好的临床效果。

Objective To study the surgical effect of arthroscopy calcaneal tubercle cleaning on individualized forming after decompression treatment of intractable Haglund＇s syndrome of the Achilles tendon. Methods Twenty-two cases underwent arthroscopy cleaning calcaneal tubercle on individualized forming after decompression treatment. American Foot and Ankle Surgery Society（ AOFAS） ankle-foot function score was assessed preoperatively and postoperatively. Results Patients were followed up for 13. 6 months（ 6 ~ 18months）. American Foot and Ankle Surgery Society（ AOFAS） ankle-foot function score improved significantly. 90. 9% of patients presented excellent or good results. Conclusion Arthroscopy cleaning of calcaneal tubercle on individualized form with decompression treatment of intractable Haglund＇ s syndrome of the Achilles tendon can achieve satisfactory results.