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Endoskopik kalkaneoplasti: Beş yıllık takip sonuçları

Yıl 2013, Cilt: 47 Sayı: 4, 261 - 265, 18.09.2013

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.

Kaynakça

  • Haglund P. Contribution to the clinic of Achilles tendon. [Article in German] Zeitschr Orthop Chir 1928;49:49-58.
  • Nesse E, Finsen V. Poor results after resection for Haglund’s heel. Analysis of 35 heels treated by arthroscopic removal of bony spurs. Acta Orthop Scand 1994;65:107-9.
  • Pavlov H, Heneghan MA, Hersh A, Goldman AB, Vigorita V. The Haglund syndrome: initial and differential diagnosis. Radiology 1982;144:83-8.
  • Myerson MS, McGarvey W. Disorders of the Achilles tendon insertion and Achilles tendinitis. Instr Course Lect 1999; 48:211-8.
  • Clement DB, Taunton JE, Smart GW. Achilles tendinitis and peritendinitis: etiology and treatment. Am J Sports Med 1984;12:179-84.
  • Huber HM, Waldis M. The Haglund exostosis – a surgical indication and a minor intervention? [Article in German] Z Orthop Ihre Grenzgeb 1989;127:286-90.
  • Perlman MD. Enlargement of the entire posterior aspect of the calcaneus: treatment with the Keck and Kelly calcaneal osteotomy. J Foot Surg 1992;31:424-33.
  • Leitze Z, Sella EJ, Aversa JM. Endoscopic decompression of the retrocalcaneal space. J Bone Joint Surg Am 2003;85-A: 1488Sammarco GJ, Taylor AL. Operative management of Haglund’s deformity in the nonathlete: a retrospective study. Foot Ankle Int 1998;19:724-9. van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy 2000;16:871-6.
  • Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 1994;15: 349van Dijk CN, van Dyk GE, Scholten PE, Kort NP. Endoscopic calcaneoplasty. Am J Sports Med 2001;29:185-9. Le TA, Joseph PM. Common exostectomies of the rearfoot. Clin Podiatr Med Surg 1991;8:601-23.
  • Pauker M, Katz K, Yosipovitch Z. Calcaneal osteotomy for Haglund disease. J Foot Surg 1992;31:588-9.
  • Leach RE, Dilorio E, Harney RA. Pathological hindfoot conditions in the athlete. Clin Orthop Relat Res 1983;(177): 116Angermann P. Chronic retrocalcaneal bursitis treated by resection of the calcaneus. Foot Ankle 1990;10:285-7.
  • Scholten PE, Van Dijk CN. Endoscopic calcaneoplasty. Foot Ankle Clin 2006;11:439-46.
  • Jerosch J, Schunck J, Sokkar SH. Endoscopic calcaneoplasty (ECP) as a surgical treatment of Haglund's syndrome. Knee Surg Sports Traumatol Arthrosc 2007;15:927-34.
  • Jerosch J, Nasef NM. Endoscopic calcaneoplasty – rationale, surgical technique, and early results: a preliminary report. Knee Surg Sports Traumatol Arthrosc 2003;11:190-5.

Endoscopic calcaneoplasty: five-year results

Yıl 2013, Cilt: 47 Sayı: 4, 261 - 265, 18.09.2013

Öz

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.

Kaynakça

  • Haglund P. Contribution to the clinic of Achilles tendon. [Article in German] Zeitschr Orthop Chir 1928;49:49-58.
  • Nesse E, Finsen V. Poor results after resection for Haglund’s heel. Analysis of 35 heels treated by arthroscopic removal of bony spurs. Acta Orthop Scand 1994;65:107-9.
  • Pavlov H, Heneghan MA, Hersh A, Goldman AB, Vigorita V. The Haglund syndrome: initial and differential diagnosis. Radiology 1982;144:83-8.
  • Myerson MS, McGarvey W. Disorders of the Achilles tendon insertion and Achilles tendinitis. Instr Course Lect 1999; 48:211-8.
  • Clement DB, Taunton JE, Smart GW. Achilles tendinitis and peritendinitis: etiology and treatment. Am J Sports Med 1984;12:179-84.
  • Huber HM, Waldis M. The Haglund exostosis – a surgical indication and a minor intervention? [Article in German] Z Orthop Ihre Grenzgeb 1989;127:286-90.
  • Perlman MD. Enlargement of the entire posterior aspect of the calcaneus: treatment with the Keck and Kelly calcaneal osteotomy. J Foot Surg 1992;31:424-33.
  • Leitze Z, Sella EJ, Aversa JM. Endoscopic decompression of the retrocalcaneal space. J Bone Joint Surg Am 2003;85-A: 1488Sammarco GJ, Taylor AL. Operative management of Haglund’s deformity in the nonathlete: a retrospective study. Foot Ankle Int 1998;19:724-9. van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy 2000;16:871-6.
  • Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 1994;15: 349van Dijk CN, van Dyk GE, Scholten PE, Kort NP. Endoscopic calcaneoplasty. Am J Sports Med 2001;29:185-9. Le TA, Joseph PM. Common exostectomies of the rearfoot. Clin Podiatr Med Surg 1991;8:601-23.
  • Pauker M, Katz K, Yosipovitch Z. Calcaneal osteotomy for Haglund disease. J Foot Surg 1992;31:588-9.
  • Leach RE, Dilorio E, Harney RA. Pathological hindfoot conditions in the athlete. Clin Orthop Relat Res 1983;(177): 116Angermann P. Chronic retrocalcaneal bursitis treated by resection of the calcaneus. Foot Ankle 1990;10:285-7.
  • Scholten PE, Van Dijk CN. Endoscopic calcaneoplasty. Foot Ankle Clin 2006;11:439-46.
  • Jerosch J, Schunck J, Sokkar SH. Endoscopic calcaneoplasty (ECP) as a surgical treatment of Haglund's syndrome. Knee Surg Sports Traumatol Arthrosc 2007;15:927-34.
  • Jerosch J, Nasef NM. Endoscopic calcaneoplasty – rationale, surgical technique, and early results: a preliminary report. Knee Surg Sports Traumatol Arthrosc 2003;11:190-5.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orijinal Makale
Yazarlar

Gokhan Kaynak Bu kişi benim

Tahir Ogut Bu kişi benim

Necip S. Yontar Bu kişi benim

Hüseyin Botanlioglu Bu kişi benim

Ata Can Bu kişi benim

Mehmet Can Unlu Bu kişi benim

Yayımlanma Tarihi 18 Eylül 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 47 Sayı: 4

Kaynak Göster

APA Kaynak, G., Ogut, T., Yontar, N. S., Botanlioglu, H., vd. (2013). Endoscopic calcaneoplasty: five-year results. Acta Orthopaedica Et Traumatologica Turcica, 47(4), 261-265.
AMA Kaynak G, Ogut T, Yontar NS, Botanlioglu H, Can A, Unlu MC. Endoscopic calcaneoplasty: five-year results. Acta Orthopaedica et Traumatologica Turcica. Eylül 2013;47(4):261-265.
Chicago Kaynak, Gokhan, Tahir Ogut, Necip S. Yontar, Hüseyin Botanlioglu, Ata Can, ve Mehmet Can Unlu. “Endoscopic Calcaneoplasty: Five-Year Results”. Acta Orthopaedica Et Traumatologica Turcica 47, sy. 4 (Eylül 2013): 261-65.
EndNote Kaynak G, Ogut T, Yontar NS, Botanlioglu H, Can A, Unlu MC (01 Eylül 2013) Endoscopic calcaneoplasty: five-year results. Acta Orthopaedica et Traumatologica Turcica 47 4 261–265.
IEEE G. Kaynak, T. Ogut, N. S. Yontar, H. Botanlioglu, A. Can, ve M. C. Unlu, “Endoscopic calcaneoplasty: five-year results”, Acta Orthopaedica et Traumatologica Turcica, c. 47, sy. 4, ss. 261–265, 2013.
ISNAD Kaynak, Gokhan vd. “Endoscopic Calcaneoplasty: Five-Year Results”. Acta Orthopaedica et Traumatologica Turcica 47/4 (Eylül 2013), 261-265.
JAMA Kaynak G, Ogut T, Yontar NS, Botanlioglu H, Can A, Unlu MC. Endoscopic calcaneoplasty: five-year results. Acta Orthopaedica et Traumatologica Turcica. 2013;47:261–265.
MLA Kaynak, Gokhan vd. “Endoscopic Calcaneoplasty: Five-Year Results”. Acta Orthopaedica Et Traumatologica Turcica, c. 47, sy. 4, 2013, ss. 261-5.
Vancouver Kaynak G, Ogut T, Yontar NS, Botanlioglu H, Can A, Unlu MC. Endoscopic calcaneoplasty: five-year results. Acta Orthopaedica et Traumatologica Turcica. 2013;47(4):261-5.