2015 ISAKOS Biennial Congress ePoster #115

Endoscopic Calcaneoplasty in Soccer Players

Jorge Pablo Batista, MD, San Isidro, Buenos Aires ARGENTINA
Rodrigo Maestu, MD, Boulogne, Buenos Aires ARGENTINA
Javier Del Vecchio
Lucas Logioco, MD, Buenos Aires ARGENTINA
Gerardo Godoy Sanchez, MD, Buenos Aires, C.A.B.A. ARGENTINA

Club Atlético Boca Juniors- Centro Artroscópico Jorge Batista, Ciudad Autonoma de Buenos Aires (CABA), Buenos Aires, ARGENTINA

FDA Status Not Applicable

Summary: Endoscopic calcaneoplasty is a very good alternative to treat retrocalcaneal bursitis and Haglund´s disease but not all professional soccer players return to their sport activity after an endoscopic calcaneoplasty

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Abstract:

Surgical debridement has been shown to be a successful treatment for chronic insertional Achilles tendinopathy, retrocalcaneal bursitis and Haglund’s disease.
Endoscopic techniques have been described as an alternative to open surgery, but only results
of uncontrolled retrospective case series research have been reported in soccer players.
Endoscopic debridement has shown good outcomes, ranging from 70% to 97% excellent or good results,with minimal complication rates.

Introduction

Material and Method:
We analyzed prospectively the performance of 19 soccer players who underwent endoscopic calcaneoplasty through two portals, one laterally and one medially, over the posterosuperior portion of the calcaneus to gain access to the retrocalcaneal space. The swollen bursa tissue was removed, and the prominent bone was resected. Patients were evaluated preoperatively and postoperatively with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale and Visual Analog Scale (VAS) score
The average follow-up of 46.2 months (R= 26-84).

Results

The post operative AOFAS score was 80 points (R= 60 to 100). VAS Pain improvement 82%.
Only thirteen soccer players (68,42%) returned to competitive physical activity level. Two patients (10.52%) were unable to continue their usual physical activity (professional soccer), one for pain, and the other brokes the insertion of the Achilles tendon and was reoperated, and 4 (21,05%) were unable to return to their prior physical activity level.
Complications that was observed: One patient (5,26%) had transitory hypoesthesia of the heel.
35% of the patients presented induration and pain in the portals within 2 months after the surgery.

Conclusions

Endoscopic calcaneoplasty (EC) has been shown to be an effective surgical procedure for treatment of patients with complaints of retrocalcaneal bursitis that not improved with conservative treatment, reducing the time of return to sport in relation to open procedures but taking no less than 4 months to return to competitive physical activity
Not all resume prior level of physical activity