Curative Effect Analysis Of Surgical Treatment For Haglund Syndrome In Different Age Groups

Objectives: To sum up the curative effect of calcaneal nodule resection and the treatment of Achilles tendon calcification in the treatment of Haglund syndrome of Achilles tendon.To observe the clinical curative effect of surgical treatment of patients of different age groups,to observe the effect of age factor for surgical treatment.Methods: A retrospective analysis of our hospital from June 1,2007~ December 1,2015,surgical treatment of Achilles tendon Haglund syndrome in 51 cases,there were 31 males and 20 females,aged 18 to 86 years old,the average age 44.47+15.477 years.51 patients according to age group,age < 40 year old youth group(group A),age is more than or equal to 40 year old for group B(elderly group).A group of 33 cases,aged 18 to 35 years old,average 27.52 years old,3.193 years old;B group of 18 cases,the age of 43 years old to 86 years old,average 57 years old.The overall 51 cases of patients,patients in group A and group B patients by American Association of foot and ankle ankle and foot AOFAS score and VAS score of preoperative and postoperative evaluation,SPSS 19.0 for data for statistical analysis,by using the paired t test,when P< 0.05,the difference is statistically significant.Results: All patients of two groups were followed up to 1 years after operation.1 51 cases patients overall VAS score before operation was 6.783+0.541 and postoperative 1.588+0.572,paired t-test method were compared and compared before and after surgery,significant difference(P = 0.000<0.05);AOFAS score before operation was 45.24 + 507,postoperative 90.33+4.555 and compared before and after surgery,has significant difference(P =0.000 < 0.05).Postoperative score group was compared between the2 VAS scores: a group VAS score before operation was 6.73+0.517,postoperative 2.06 + 0.747,preoperative and postoperative compared,there is significant difference(P =0.000 < 0.05);group B VAS score preoperative 6.89 + 0.583,postoperative 1.39+0.502,preoperative and postoperative compared,there is significant difference(P = 0.000<0.05);group: a group VAS score before operation was 45.03+5.175 B VAS was 6.89 + 0.583,comparison,no significant difference(P = 0.421> 0.05);group a VAS score was 2.06 + 0.747,group B VAS score after surgery was 1.39 + 0.502,between the two,there are significant differences(P = 0.006 < 0.05);3 AOFAS score: A group AOFAS score before operation was 45.61 + 4.996,92.22 + 3.750 after surgery,preoperative and postoperative compared had significant difference(P = 0,P<0.05).B group AOFAS score before operation was 45.03 + 5.175,89.30 + 4.674 after surgery,preoperative and postoperative compared had significant difference(P= 0,P< 0.05).Group comparison: before the AOFAS group A score was 45.03+5.175,B group was 45.61 + 4.996,and there was no significant difference between the two groups(P = 0.900 > 0.05).In group AOFAS,the A score was 89.30 + 4.674,B group was 92.22+3.750,and there was a significant difference between the two groups(P = 0.031< 0.05).Conclusion:1 calcaneal tubercle resection surgery and Achilles tendon calcification resection surgery in the treatment of Achilles tendon Haglund syndrome,but it should be strictly control surgical indications and clinical practices,its clinical application still has a certain value.2 the young group and the old group were compared,after 1 year follow-up of two groups of VAS score and an AOFAS score and observation data,it was found that there is a significant difference(P<0.05)between the two,middle and old aged group compared with the young group had better clinical efficacy,visible age factors may is one of the factors affect the efficacy of.This may be related to the relatively small amount of activity and lower expected value in elderly patients,but there is no long-term follow-up observation and large sample multi center study,clinical need to be further observed.