Vía de abordaje posterior en cuatro transaquílea en el síndrome doloroso del retropié: Haglund, pump bump y tendinitis calcificante del tendón de Aquiles

Article information

Actualmente existe la tendencia a utilizar técnicas mínimamente invasivas en el tratamiento del síndrome doloroso del retropié. En nuestro servicio, preferimos utilizar la vía de abordaje posterior abierta en cuatro transaquílea, dado que permite una mejor visualización de las lesiones presentes a este nivel. Este tipo de abordaje concede al cirujano poder realizar con mayor facilidad y precisión la técnica quirúrgica con una tasa muy baja de complicaciones.

Palabras clave:

Retropié

Haglund

Cirugía abierta

Aquiles

Currently, there is a trend towards the use of minimally invasive techniques for the treatment of posterior heel pain. In our hospital, we prefer to use the tendon splitting approach through a four-shaped cutaneous incision. It provides a better visualization of retrocalcaneal space. This type of surgical approach allows an easier and complete surgery with a very low complication rate.

Key words:

Hindfoot

Haglund

Open surgery

Achilles tendon

Full text is only aviable in PDF

Bibliografía

[1.]

S.D. Vyce, E.A. Thomas, E. Mathews, S.L. Perez.

Painful prominences of the heel.

Clinics in podiatric medicine and surgery, 27 (2010), pp. 443-462

http://dx.doi.org/10.1016/j.cpm.2010.04.005 | Medline

[2.]

N. Maffulli, V. Testa, G. Capasso, A. Sullo.

Calcific insertional Achilles tendinopathy: reattachment with bone anchors.

Am J Sports Med, 32 (2004), pp. 174-182

Medline

[3.]

J.C. Patzkowski, K.L. Kirk, J.D. Orr, B.R. Waterman, J.M. Kirby, J.R. Hsu.

Quantification of posterior ankle exposure through an Achilles tendon-splitting versus posterolateral approach.

Foot Ankle Int, 33 (2012), pp. 900-904

http://dx.doi.org/DOI: 10.3113/FAI.2012.0900 | Medline

[4.]

F.W. Ortmann, A.M. McBryde.

Endoscopic bony and softtissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis.

Foot Ankle Int, 28 (2007), pp. 149-153

http://dx.doi.org/10.3113/FAI.2007.0149 | Medline

[5.]

A. Lowdon, D.L. Bader, A.G. Mowat.

The effect of heel pads on the treatment of Achilles tendinitis: a double blind trial.

Am J Sports Med, 12 (1984), pp. 431-435

Medline

[6.]

J.P. Furia.

High energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy.

Am J Sports Med, 34 (2006), pp. 733-740

http://dx.doi.org/10.1177/0363546505281810 | Medline

[7.]

W.C. McGarvey, R.C. Palumbo, D.E. Baxter, B.D. Leibman.

Insertional Achilles tendinosis: surgical treatment through a central tendon splitting approach.

Foot Ankle Int, 23 (2002), pp. 19-25

Medline

[8.]

Chang TJ. Master techniques in podatric surgery: the foot and the ankle. Chapter 22. Bouché RT, McInnes B. Posterior heel pain: Haglund's deformity, pump-bump and Achilles insertional calcific tendinosis.(TCIA).

[9.]

Z. Leitze, E.J. Sella, J.M. Aversa.

Endoscopic decompression of the retrocalcaneal space.

J Bone Joint Surg Am, 85-A (2003), pp. 1488-1496

Medline

[10.]

H. Lohrer, T. Nauck, N.V. Dorn, M.A. Konerding.

Comparison of endoscopic and open resection for Haglund tuberosity in a cadaver study.

Foot Ankle Int, 27 (2006), pp. 445-450

Medline

[11.]

V. Kondreddi, R.K. Gopal, R.K. Yalamanchil.