CAJ | 학술논문

背景：目前在Haglund病的治疗中，手术治疗指征及方法尚存在争议。目的：探讨应用带线锚钉重建跟腱止点治疗Haglund病的临床效果。方法：2009年1月至2013年11月我院收治Haglund病患者15例，其中男10例，女5例；年龄37~58岁，平均42.5岁。采用锚钉重建跟腱止点。术后进行临床及影像学随访，采用AOFAS踝-后足功能评分标准进行足踝部功能评估。结果：所有患者伤口均一期愈合，无皮肤坏死和切口周围麻木。术后随访6~22个月，平均15.8个月，末次随访AOFAS踝-后足功能评分为71~93分（平均83.6分）。其中优10足，良3足，可2足，优良率为86.7%。X线检查未见跟腱周围新生骨增生，MR提示跟腱愈合良好。结论：在严格掌握手术适应证的前提下，采用锚钉重建跟腱止点治疗Haglund病，手术操作简单，疗效确切，并发症少。但远期临床疗效仍需进一步观察。
배경：목전재Haglund병적치료중，수술치료지정급방법상존재쟁의。목적：탐토응용대선묘정중건근건지점치료Haglund병적림상효과。방법：2009년1월지2013년11월아원수치Haglund병환자15례，기중남10례，녀5례；년령37~58세，평균42.5세。채용묘정중건근건지점。술후진행림상급영상학수방，채용AOFAS과-후족공능평분표준진행족과부공능평고。결과：소유환자상구균일기유합，무피부배사화절구주위마목。술후수방6~22개월，평균15.8개월，말차수방AOFAS과-후족공능평분위71~93분（평균83.6분）。기중우10족，량3족，가2족，우량솔위86.7%。X선검사미견근건주위신생골증생，MR제시근건유합량호。결론：재엄격장악수술괄응증적전제하，채용묘정중건근건지점치료Haglund병，수술조작간단，료효학절，병발증소。단원기림상료효잉수진일보관찰。
Background:Indications and surgical methods for the treatment of Haglund's disease have been controversial. Objective:To investigate clinical outcomes of reconstructing Achilles dead with Mitck Mini anchor for Haglund's disease. Methods:Fifteen patients with Haglund's disease were treated by reconstructing Achilles dead with Mitck Mini anchor from January 2009 to November 2013 in our hospital. There were 10 males and 5 females with an mean age of 42.5 years (range, 37-58 years). Postoperative Clinical examination and radiographic evaluation were conducted during follow-up. American Foot and Ankle Surgery Society (AOFAS) ankle-foot function score was used to evaluate clinical outcomes. Results:Primary healing was achieved in all wounds. No skin necrosis or numbness around the incision occurred. All Pa-tients were followed up for 15.8 months on average (range, 6-22 months). Mean AOFAS ankle-hindfoot score was 83.6 (range, 71-93) at the last follow-up. Clinical examination was excellent in 10 cases, good in 3, and fair in 2. X-ray showed no proliferation of new bone around the Achilles tendon. MR results showed Achilles tendon was healed well. Conclusions:Reconstruction of Achilles dead with Mitck mini anchor is simple and effective for treatment of Haglund's dis-ease under proper surgical indications. However, long-term clinical efficacy should be investigated.