title: The Double-Row Suture Technique: A Better Option for the Treatment of Haglund Syndrome.
abstract: Purpose. The purpose of this study is to investigate whether double-row suture technique is a better option for the treatment of Haglund syndrome than single-row suture technique regarding the surgical outcomes.Methods. Thirty-two patients with Haglund syndrome were recruited in this study. Patients were divided into Group 1 (treated with single-row suture technique) and Group 2 (treated with double-row suture technique). There were 16 patients in each group. The AOFAS-ankle-hindfoot scale, VISA-A scores, and Arner-Lindholm standard were used to assess the clinical outcomes. The pre- and postoperative X-rays were used to assess the radiological outcome.Results. Both AOFAS-ankle-hindfoot scale score and VISA-A score had varying degrees of improvement in both groups. In latest follow-up assessment, the Arner-Lindholm standard investigation showed there were 7 excellent, 7 good, and 2 bad outcomes in Group 1 and 12 excellent and 4 good outcomes in Group 2. In Group 2 patients, there were no more posterosuperior bony prominence of the calcaneum in post-op X-rays and there were no recurrent cases. The ankle-related scale score was statistically significantly higher in Group 2 than in Group 1 (P= 0.029).Conclusion. The double-row suture technique seems to be a better option to treat Haglund syndrome than single-row suture technique.
authors.affiliation: Nanjing University of Chinese Medicine, Nanjing, China.
authors.forename: Yiqiu
authors.identifier: 0000-0002-9709-1070
authors.initials: Y
authors.lastname: Jiang
authors.affiliation: Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
authors.forename: Yang
authors.identifier: 0000-0002-1509-3890
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
authors.forename: Tianqi
authors.identifier: 0000-0002-5190-1381
authors.initials: T
authors.lastname: Tao
authors.affiliation: Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
authors.forename: Wang
authors.initials: W
authors.lastname: Li
authors.affiliation: Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
authors.forename: Kaibin
authors.initials: K
authors.lastname: Zhang
authors.affiliation: Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
authors.forename: Jianchao
authors.identifier: 0000-0003-2773-2001
authors.initials: J
authors.lastname: Gui
authors.affiliation: Nanjing University of Chinese Medicine, Nanjing, China.
authors.forename: Yong
authors.identifier: 0000-0001-5849-3424
authors.initials: Y
authors.lastname: Ma
mesh_terms: D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome