The Double-Row Suture Technique: A Better Option for the Treatment of Haglund Syndrome

Abstract EN

Purpose.

The purpose of this study is to investigate whether double-row suture technique is a better option for the treatment of Haglund syndrome than single-row suture technique regarding the surgical outcomes.

Methods.

Thirty-two patients with Haglund syndrome were recruited in this study.

Patients were divided into Group 1 (treated with single-row suture technique) and Group 2 (treated with double-row suture technique).

There were 16 patients in each group.

The AOFAS-ankle-hindfoot scale, VISA-A scores, and Arner-Lindholm standard were used to assess the clinical outcomes.

The pre- and postoperative X-rays were used to assess the radiological outcome.

Results.

Both AOFAS-ankle-hindfoot scale score and VISA-A score had varying degrees of improvement in both groups.

In latest follow-up assessment, the Arner-Lindholm standard investigation showed there were 7 excellent, 7 good, and 2 bad outcomes in Group 1 and 12 excellent and 4 good outcomes in Group 2.

In Group 2 patients, there were no more posterosuperior bony prominence of the calcaneum in post-op X-rays and there were no recurrent cases.

The ankle-related scale score was statistically significantly higher in Group 2 than in Group 1 (P=0.029).

Conclusion.

The double-row suture technique seems to be a better option to treat Haglund syndrome than single-row suture technique.