Arthroscopic debridement combined with posterosuperior calcaneoplasty for retrocalcaneal bursitis: technique and outcomes
Author(s): Li Qi, Li Jian, Department of Osteopathics, Center of Sports Medicine, West China Hospital, Sichuan University
Pages: 225-229
Year: 2015 Issue: 3
Journal: Journal of Third Military Medical University
Keyword: retrocalcaneal; bursitis; arthroscopy; debridement; posterosuperior calcaneoplasty;
Abstract: Objective To introduce the technique and investigate the outcomes of arthroscopic debridement combined with posterosuperior calcaneoplasty for retrocalcaneal bursitis. Methods Clinical data of 8 patients with retrocalcaneal bursitis undergoing arthroscopic debridement combined with posterosuperior calcaneoplasty in our department from January 2011 to January 2013 were collected and retrospectively reviewed. They were 5 males and 3 females with a mean age of 42. 2 years( ranging from 32 to53),and 6 of them were hurt in right side and 2 in left. All patients did not have a clear history of trauma,had a duration of 10 to 35 months,and experienced conservative treatment for average 3 to 6 months which was failed and then turned to surgical treatment. In 2 d after surgery,the patients begun partial weight-bearing walking,then followed by full weight-bearing walking in 3 weeks after surgery,and restored daily life and started moving after 6 to 8 weeks. Pre- and post-operative radiography,visual analogue scale( VAS) and Tegner scores were recorded and compared. Postoperative complications were also observed. Results All of the patients underwent the surgery successfully,with a mean operation time of 30 min( 18 to 35). After surgery,there was no case with any complications,such as infection,nerve or tendon injury,restricted range of motion,or Achilles tendon contracture. The average time of follow-up was 19 months( 7- 29). On the post-operative radiographs,the calcaneal posterosuperior protuberance became blunter and rounder. Tegner scores was increased significantly from 2. 4 ± 1. 0( 2- 4) before surgery to 5. 4 ± 0. 8( 4- 8) after( P <0. 01). There was a significant decrease in VAS post-operatively than that pre-operatively [1. 8 ± 0. 7( 0- 3)vs 5. 9 ± 1. 5( 4- 8),P < 0. 01]. Conclusion For patients with chronic retrocalcaneal bursitis,arthroscopic debridement combined with posterosuperior calcaneoplasty is an effective option with short operation time,small wound and rapid efficiency,but surgical indications should be strictly controlled.
Pages: 225-229
Year: 2015 Issue: 3
Journal: Journal of Third Military Medical University
Keyword: retrocalcaneal; bursitis; arthroscopy; debridement; posterosuperior calcaneoplasty;
Abstract: Objective To introduce the technique and investigate the outcomes of arthroscopic debridement combined with posterosuperior calcaneoplasty for retrocalcaneal bursitis. Methods Clinical data of 8 patients with retrocalcaneal bursitis undergoing arthroscopic debridement combined with posterosuperior calcaneoplasty in our department from January 2011 to January 2013 were collected and retrospectively reviewed. They were 5 males and 3 females with a mean age of 42. 2 years( ranging from 32 to53),and 6 of them were hurt in right side and 2 in left. All patients did not have a clear history of trauma,had a duration of 10 to 35 months,and experienced conservative treatment for average 3 to 6 months which was failed and then turned to surgical treatment. In 2 d after surgery,the patients begun partial weight-bearing walking,then followed by full weight-bearing walking in 3 weeks after surgery,and restored daily life and started moving after 6 to 8 weeks. Pre- and post-operative radiography,visual analogue scale( VAS) and Tegner scores were recorded and compared. Postoperative complications were also observed. Results All of the patients underwent the surgery successfully,with a mean operation time of 30 min( 18 to 35). After surgery,there was no case with any complications,such as infection,nerve or tendon injury,restricted range of motion,or Achilles tendon contracture. The average time of follow-up was 19 months( 7- 29). On the post-operative radiographs,the calcaneal posterosuperior protuberance became blunter and rounder. Tegner scores was increased significantly from 2. 4 ± 1. 0( 2- 4) before surgery to 5. 4 ± 0. 8( 4- 8) after( P <0. 01). There was a significant decrease in VAS post-operatively than that pre-operatively [1. 8 ± 0. 7( 0- 3)vs 5. 9 ± 1. 5( 4- 8),P < 0. 01]. Conclusion For patients with chronic retrocalcaneal bursitis,arthroscopic debridement combined with posterosuperior calcaneoplasty is an effective option with short operation time,small wound and rapid efficiency,but surgical indications should be strictly controlled.
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