Outcome of Endoscopic Decompression of Retrocalcaneal Space in Haglund?s Deformity

Background: The traditional operative method of management of Haglund?s deformity consists of open resection of the spur at the posterosuperior calcaneal tuberosity. An endoscopic technique was used for the management of this condition in an effort to reduce the morbidity and recovery time. The aim of the present study was to evaluate the clinical outcome of the same. Material and Methods: During the duration of 2 years, 20 patients of mean age 44.80 (range 30-65), suffering from Haglund?s deformity, not responding to conservative management, underwent Endoscopic decompression of retrocalcaneal space. and were followed up at 3 weeks, 3 months and 6 months. They were evaluated on the basis of pre-operative and post-operative AOFAS scores and post-operative Maryland foot score. Results: There was a significant improvement in the AOFAS score from a mean of 65.95 pre operatively to a mean of 97.30 at 6 months after surgery. Maryland foot score was converted to non-parametric categories and majority of the patients showed good to excellent results 6 months post surgery. Conclusion: Endoscopic decompression of retrocalcaneal space can be used as an alternative to open resection of calcaneal spur in Haglund?s deformity with fewer complications, lesser morbidity, high patient satisfaction and other advantages.