Haydarpasa Numune Med J. 2018; 58(1): 17-21 | DOI: 10.14744/hnhj.2017.08370

Aðrýlý Topuk Sendromu’nda kalkaneal spur eksizyonu, kalkaneal drilleme ve plantar fasya gevþetme kombine tekniði erken dönem fonksiyonel sonuçlarý

Kayahan Karaytuð¹, Sefa Giray Batýbay², Eren Yýldýz^3
1Sarýkamýþ Devlet Hastanesi Ortopedi ve Travmatoloji Departmaný, Kars
²Ümraniye Eðitim Ve Araþtýrma Hastanesi Ortopedi ve Travmatoloji Departmaný, Ýstanbul
³Hatay Devlet Hastanesi Ortopedi ve Travmatoloji Departmaný, Hatay

GÝRÝÞ ve AMAÇ: Aðrýlý topuk sendromu, kalkaneal tuberosit’in inferomedialinde aðrý ve hassasiyet ile karakterizedir. Konservatif tedaviye dirençli olgularda farklý cerrahi iþlemler uygulanmaktadýr. Bu çalýþmanýn amacý dirençli topuk aðrýsý nedeni ile kalkaneal spur eksizyonu, drilleme ve plantar fasya gevþetme kombine tedavisinin fonksiyonel sonuçlarýný bildirmektir.
YÖNTEM ve GEREÇLER: Hastalara AOFAS, VAS, SF 12 PCS bakýldý. Radyolojik olarak kalkaneal spur nüksü araþtýrýldý
BULGULAR: Ortalama preop AOFAS, VAS, SF-12 PCS sýrasý ile 50.6, 7.4, ve 42.9 iken postoperatif 90.4, 1.6 ve 57.1 idi.
TARTIÞMA ve SONUÇ: Perkütan kalkaneal drilleme, spur eksizyonu ve minimal invaziv plantar fasya gevþetme kombine tekniði, dirençli topuk aðrý tedavisinde erken dönemde yüz güldürücü sonuçlarý olan bir yöntemdir.

Anahtar Kelimeler: Topuk aðrýsý, kalkaneal spur, plantar fasya gevþetme, kalkaneal dekompresyon

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Early-Term Functional Results for Combined Technique of Calcaneal Spur Removal, Calcaneal Drilling, and Plantar Fascia Release in Painful Heel Syndrome

Kayahan Karaytuð¹, Sefa Giray Batýbay², Eren Yýldýz^3
1Department of Orthopedics and Traumatology Sarýkamýs State Hospital, Kars, Turkey
²Department of Orthopedics and Traumatology Umraniye Research Hospital, Istanbul, Turkey
³Department of Orthopedics and Traumatology Hatay State Hospital, Hatay, Turkey

INTRODUCTION: Painful heel syndrome is characterized by pain and sensitivity in the inferomedial aspect of the calcaneal tuberosity. In cases resistant to conservative treatment, various surgical procedures may be used. The purpose of this study was to report the functional outcomes for a combined technique of calcaneal spur excision, drilling, and plantar fascia release for the treatment of resistant heel pain.
METHODS: Patient results of preoperative and postoperative American Orthopaedic Foot and Ankle Score (AOFAS), Visual Analogue Scale (VAS), and Short Form 12 Physical Composite Score (SF-12 PCS) were evaluated. Calcaneal spur recurrence was investigated radiologically.
RESULTS: The median preoperative scores were AOFAS: 50.6, VAS: 7.4, and SF-12 PCS: 42.9. The median postoperative scores were AOFAS: 90.4, VAS: 1.6, and SF-12 PCS: 57.1.
DISCUSSION AND CONCLUSION: Percutaneous calcaneal drilling, spur excision, and minimally invasive plantar fascia release provided good early results in the treatment of resistant heel pain.

Keywords: Calcaneal decompression, calcaneal spur, heel pain, plantar fascia release.

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