Zadek osteotomy for the treatment of Haglund’s Syndrome

Background: Although several treatment options described in paper, Haglund’s Syndrome (HS) is a challenging common lower extremity disorder. This study reported the clinical outcomes of Zadek osteotomy (ZO) for the treatment of HS. Methods: : This retrospective study included 19 patients who underwent ZO from January 2016 to June 2018. Patients were evaluated using the American Orthopedic Foot Ankle Society ankle-hindfoot scale (AOFAS), Visual Analogue Scale (VAS), ankle range of motion (AROM), and Chauveaux-Liet (CL) angle preoperatively and at final follow-up visit (16.3±4.2) months. Postoperative complications of patients were also recorded. Results: : The ZO exhibited a significant improvement (P＜0.05) in preoperative to postoperative AOFAS (from 53.2±5.4 to 86.4±6.5), VAS ( from 6.3±2.1 to 0.9±1.2 ) scores and CL angle (from 18.2±1.3 to 9.4±2.1 ) degrees, the dorsiflexion of AROM (DAROM) (from 23.4±2.3 to 29.4±1.2) degrees. The planter flexion of AROM (PAROM) (from 32.5±3.5 to 33.2±3.4) degrees (P＞0.05). One postoperative complication was observed: a case of hardware pain in healthy patient. The overall rate of satisfaction after surgery was (94.7%). Conclusions: : ZO is effective and safe procedure for the treatment of HS. This method can be a good option for those patients of HS.