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dc.contributor.authorGüler, Yasin
dc.contributor.authorBirinci, Murat
dc.contributor.authorHakyemez, Ömer Serdar
dc.contributor.authorBüyükdoğan, Kadir
dc.contributor.authorÇaçan, Mehmet Akif
dc.contributor.authorArslanoğlu, Fatih
dc.contributor.authorMermerkaya, Musa Uğur
dc.date.accessioned2021-07-02T08:05:58Z
dc.date.available2021-07-02T08:05:58Z
dc.date.issued2021en_US
dc.identifier.citationGüler, Y., Birinci, M., Hakyemez, Ö. S., Büyükdoğan, K., Çaçan, M. A., Arslanoğlu, F. ... Mermerkaya, M. U. (2021). Achilles tendon-splitting approach and double-row suture anchor repair for haglund syndrome. Foot and Ankle Surgery, 27(4), 421-426. https://dx.doi.org/10.1016/j.fas.2020.05.009en_US
dc.identifier.issn1268-7731
dc.identifier.issn1460-9584
dc.identifier.urihttps://dx.doi.org/10.1016/j.fas.2020.05.009
dc.identifier.urihttps://hdl.handle.net/20.500.12511/7432
dc.description.abstractBackground: Haglund syndrom is characterized as a painful posterosuperior deformity of the heel with possible causes as tight Achilles tendon, high-arched foot and tendency to walk on the outside of the heel. Surgical treatment may be recommended in cases where of insufficient response to nonoperative treatment. This study aims to evaluate the clinical and radiographic results of central Achilles tendon splitting and double-row suture anchor technique in the surgical treatment of patients with Haglund syndrome. Methods: 27 patients with Haglund syndrome who underwent central Achilles tendon splitting and double-row suture anchor were retrospectively evaluated. The results were evaluated by the pre- and post-operative American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale and visual analogue scale (VAS). All patients were evaluated radiographically to assess lateral talus-first metatarsal angle (TMTA), Calcaneal pitch angle (CPA), and the Fowler-Philip angle (FPA) preoperatively and postoperatively. Results: The mean preoperative AOFAS score was 47 +/- 7 points; at the end of the follow-up period, it increased to 92 +/- 4 points (p < 0.001). The mean preoperative VAS score was 9 +/- 0.9 points; at the end of the follow-up period, it was 2 +/- 0.6 points (p < 0.001). The lateral TMTA (preoperative: 5 degrees +/- 2 degrees; follow-up: 4 degrees +/- 2 degrees; p < 0.001), CPA (preoperative: 21 degrees +/- 5 degrees; follow-up: 20 degrees +/- 5 degrees; p = 0.005) and FPA (preoperative: 55 degrees +/- 6 degrees; follow-up: 32 degrees +/- 3 degrees; p < 0.001) values decreased at the end of the follow-up period. Conclusion: In the absence of an improvement to nonoperative treatment methods, central Achilles tendon-splitting approach appears to be an effective and safe treatment option. Level of evidence: Level IV, retrospective case series.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMidterm Follow-Upen_US
dc.subjectFowler-Philip Ankleen_US
dc.subjectCalcaneal Bony Prominenceen_US
dc.subjectRetrocalcaneal Bursitisen_US
dc.subjectSurgical Techniqueen_US
dc.titleAchilles tendon-splitting approach and double-row suture anchor repair for haglund syndromeen_US
dc.typearticleen_US
dc.relation.ispartofFoot and Ankle Surgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.authorid0000-0001-6200-7433en_US
dc.identifier.volume27en_US
dc.identifier.issue4en_US
dc.identifier.startpage421en_US
dc.identifier.endpage426en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1016/j.fas.2020.05.009en_US
dc.identifier.wosqualityQ2en_US
dc.identifier.scopusqualityQ1en_US


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