Abstract: Background: Patrick Haglund in 1927 was the first one to describe Haglund’s deformity. This type of deformity is also known as retro-calcaneal exostosis. It is one of the causes of posterior heel pain. Several methods have been described for treatment including conservative measures and surgical measures.
Aim of Study: The aim of this study is to evaluate results of surgical resection of Haglund's deformity by Achilles’s tendon splitting approach.
Patients and Methods: In this prospective study, 21 cases with Haglund's deformity were treated with surgical resection through Achilles’s tendon splitting approach.
Results: These cases were assessed according to AOFAS score, the functional results were graded as excellent in thirteen patients (61.9%), good in seven patients (33.3%), fair in one patient (4.8%), with no poor results. The excellent and good results were categorized as satisfactory ones while the fair results were said to be the unsatisfactory ones. Thus, satisfactory results were seen in 20 patients (95.2%), and the unsatisfactory ones were found in 1 patient (4.8%).
Conclusion: This study proves that central splitting technique for the surgical treatment of Haglund's deformity is an effective treatment with good exposure of retrocalcaneal space, with reduced risk of vascular and nerve injury, and acceptable outcome.
