Haglund畸形患者行内窥镜跟骨成形术的功能评价

H. D. Bertelli, Bruno Arvatti Michelin, Isabela Ferreira Perucci, M. Cillo, Carlos Daniel Candido Castro Filho, Rodrigo Guimarães Huyer
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摘要

目的:分析内镜下跟骨成形术治疗Haglund畸形患者的功能结局。方法:本研究包括一组接受内窥镜跟骨成形术的患者。采用美国骨科足踝学会踝关节-后足量表对患者术前和术后12个月进行评估,提供术前和术后评分。结果:19例患者共接受24例内镜下跟骨成形术。美国骨科足踝学会量表术前平均评分为31.4,术后平均评分为93.3,术后评分明显增高。患者平均年龄52岁,年龄最小25岁,年龄最大73岁。然而,年龄与美国骨科足踝协会评分的变化之间没有明显的关系。术后即刻及后期均无并发症发生。结论:关节镜切除是治疗Haglund畸形的有效方法,术后观察到美国骨科足踝学会评分显著改善。此外,在内镜下进行跟骨成形术的患者中没有发现术后并发症。证据等级:四级;治疗研究;病例系列。
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Functional evaluation of patients undergoing endoscopic calcaneoplasty for Haglund deformity
Objective: To analyze the functional outcomes of patients undergoing endoscopic calcaneoplasty for the treatment of Haglund deformity. Methods: This study consists of a case series of patients undergoing endoscopic calcaneoplasty. The American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, was used to evaluate patients before and 12 months after the procedure, providing preoperative and postoperative scores. Results: Nineteen patients were evaluated for a total of 24 endoscopic calcaneoplasties. The American Orthopaedic Foot and Ankle Society scale provided a mean preoperative score of 31.4 and a mean postoperative score of 93.3, which shows a significantly increased score after surgery. The mean patient age was 52 years, and the youngest patient was 25 years old and the oldest patient was 73 years old. However, no significant relationship was found between age and change in the American Orthopaedic Foot and Ankle Society score. No complications were observed in the immediate or late postoperative periods. Conclusion: Arthroscopic resection is efficient in the treatment of Haglund deformity given the significant improvement in the American Orthopaedic Foot and Ankle Society score observed after the procedure. Also, no postoperative complications were seen in patients who underwent endoscopic calcaneoplasty. Level of Evidence: IV; Therapeutic Studies; Case series.
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