Endoskopik kalkaneoplasti: Beş yıllık takip sonuçları

Öz

Amaç: Bu çalışmanın amacı retrokalkaneal bursit ve Haglund hastalığının tedavisinde endoskopik kalkaneoplasti tekniğinin sonuçlarını değerlendirmekti. Çalışma planı: Çalışmaya 2003 ila 2011 yılları arasında Haglund hastalığı nedeniyle endoskopik cerrahi uygulanmış 28 hastanın 30 ayağı alındı. İltihaplı bursa ve kalkaneusun posterosuperior yüzeyi tıraş edildikten sonra ayak bileği dorsifleksiyon halinde Aşil tendonunda sürtünme giderilene dek kemik rezeksiyonu yapıldı. Hastaların tümü aynı gün taburcu edildiler ve cerrahi sonrası ikinci haftada tam yük basmalarına izin verildi. Hastaların Amerikan Ortopedik Ayak ve Ayak Bileği Derneği (American Orthopedic Foot and Ankle Society, AOFAS) skorları ve memnuniyet dereceleri kaydedildi. Bulgular: Hastaların ortalama takip süresi, 58.4 ay idi. AOFAS skorlarının cerrahi öncesi ortalaması 52.6 iken, son takipte bu skorun 98.6 puana yükselmiş olduğu görüldü (p<0.005). Hastaların tamamı cerrahi sonuçlarından memnun kalmışlardı. Çıkarımlar: Hasta pron veya supin pozisyonda iken gerçekleştirilen endoskopik kalkaneoplasti retrokalkaneal bursit ve Haglund hastalığının tedavisinde güvenilir ve etkin bir cerrahi girişim olarak görünmektedir.

Anahtar Kelimeler

• Haglund hastalığı; kalkaneoplasti; retrokalkaneal bursit

Endoscopic calcaneoplasty: five-year results

Abstract

Objective: The aim of this study was to evaluate the results of the endoscopic calcaneoplasty technique for the treatment of retrocalcaneal bursitis and Haglund’s disease.
Methods: This study included 30 feet of 28 patients who underwent endoscopic surgery for Haglund’s disease between 2003 and 2011. The inflamed bursa and posterosuperior surface of the calcaneus were removed with a shaver and bone resection performed until there was no friction on the Achilles tendon with the ankle in dorsiflexion. All patients were discharged on the same day and allowed full weight-bearing at the second postoperative week. American Orthopedic Foot and Ankle Society (AOFAS) scores and patient satisfaction were recorded.
Results: Average follow-up was 58.4 months. AOFAS scores significantly improved from a postoperative average of 52.6 points to 98.6 points at the final evaluation (p<0.005). All patients were satisfied with the result of the operation.
Conclusion: Endoscopic calcaneoplasty with the patient in the prone or supine position appears to be a safe and effective surgical procedure for the treatment of retrocalcaneal bursitis and Haglund’s disease.

Keywords

• Calcaneoplasty
• Haglund’s disease
• retrocalcaneal bursitis

Kaynakça

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