Transtendinous approach calcaneoplasty versus endoscopic calcaneoplasty for Haglund’s disease

Andrea Cusumano, Nicolò Martinelli, Alberto Bianchi, Angelo Bertelli, Alberto Marangon, Valerio Sansone

Research output: Contribution to journalArticlepeer-review


Purpose: In this study, we performed a comparison between open calcaneoplasty through transtendinous approach and endoscopic calcaneoplasty for Haglund’s disease. Methods: A retrospective review was performed of patients who had undergone either a calcaneoplasty with transtendinous approach or endoscopic for Haglund’s disease from three centres. Inclusion criteria were patients with Haglund’s disease confirmed radiographically, neutral alignment of the hindfoot and at least one year of follow-up. Patients were excluded in case of ipsilateral ankle osteoarthritis or other neighbouring joints, previous foot surgery, hindfoot malalignment and marked calcific insertional Achilles tendinosis. A chart review was performed to collect demographic data, including age, sex and body mass index (BMI). Functional outcome analysis included the Foot Function Index, AOFAS score and VAS for pain pre-operatively and post-operatively at the last follow-up. This patient-reported outcome scores were used in the native language of each patient (Italian). Results: Clinical and functional outcomes were collected from 54 patients (28 heels treated by open technique and 26 heels treated by endoscopic technique). In the open group, the AOFAS score improved from a pre-operative value of 65.67 ± 10.09 points to a value of 91.78 ± 9.67 points at the last follow-up (P < 0.05). In the endoscopic group, the AOFAS score improved from a pre-operative value of 66.69 ± 7.19 points to a value of 93.69 points ± 10.04 at the last follow-up (P < 0.05). The VAS and the FFI (Disability and Pain) scores were also improved significantly in both groups at the final follow-up evaluation (P < 0.001). Comparing the final follow-up post-operative clinical scores between the two groups, there was no difference in the AOFAS, VAS or the FFI scores between the two groups. No major complications were recorded, except for one Achilles tendon tear after open calcaneoplasty. The satisfaction rate was similar for both techniques. Conclusions: Both techniques provided good clinical outcomes with a low rate of complications.

Original languageEnglish
Pages (from-to)225-231
Number of pages7
JournalInternational Orthopaedics
Issue number1
Publication statusPublished - Jan 2021


  • Calcaneoplasty
  • Haglund
  • Retrocalcaneal bursitis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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