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Long-term results of endoscopic calcaneoplasty with retrocalcaneal bursectomy for retrocalcaneal bursitis.
Author(s):
Opdam Kim (Netherlands)
,
Opdam Kim (Netherlands)
Affiliations:
Zwiers R.
,
Zwiers R.
Affiliations:
Vroemen Joy
,
Vroemen Joy
Affiliations:
Sierevelt Inger
,
Sierevelt Inger
Affiliations:
Wiegerinck J.
,
Wiegerinck J.
Affiliations:
van Dijk C.
van Dijk C.
Affiliations:
ESSKA Academy. Opdam K. 05/09/18; 209227; P01-1662
Ms. Kim Opdam
Ms. Kim Opdam
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Abstract
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Objectives: The primary objective of this study was to determine the degree of patient satisfaction at a minimum of five years follow-up after endoscopic calcaneoplastic surgery with bursectomy for the diagnosis of retrocalcaneal bursitis. The secondary objectives are to assess the functional outcome measures, pain scores and analyse the reformation of the exostosis with recurrence of or persisting complaints.

Methods: Study design:
This study is designed as a retrospective descriptive study with postoperative follow- up.
Methods:
This retrospective study evaluated patients that underwent endoscopic calcaneoplastic surgery with bursectomy, between January 1st 2000 and December 31st 2010, for the diagnosis of retrocalcaneal bursitis. The inclusion criteria were: diagnosed by physical examination and/or additional imaging for retrocalcaneal bursitis, age over 18 years, capable of filling out a questionnaire and signed informed consent. Exclusion criteria were: pregnant or possibly pregnant patients and children were excluded from study participation, inability to understand the patient information and the questionnaires (e.g. mental retardation, language barrier) and no obtained informed consent. Participation consisted of a questionnaire and a visit to our outpatient clinic for one consultation. At visitation they underwent physical examination and one conventional lateral X-ray of the ankle. Patient satisfaction, functional outcome and pain scores were measured by use of a numeric rating scale. Also, we assessed the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, the Foot and Ankle Outcome Score (FAOS) and the EuroQol-5(EQ-5D-3L) standardized questionnaire. Size of the posterosuperior calcaneal exostosis was measured on a standard lateral weight-bearing radiograph using parallel pitch lines.

Results: The response rate was 51%(28 out of 55). The median time to follow-up was 101 months(IQR 88.5-131.8). The median satisfaction score for treatment results was 8.5 out of 10(IQR6-10). The median AOFAS was 100(IQR 89-100), the median FAOS subscales were scored 85-95, The NRS for pain during running and sports were 1(0-7) and 1(0-7.5) and the median EQ-5D-3L was 0.79(IQR 0.39-1.0). The median size of the exostosis before the surgery was 0.0(IQR-0.5-3.0), two weeks after the surgery -2.0 (IQR-3.5- -0.75) and at follow-up -1.0 (IQR-2.5 - 0.5).

Conclusions: This study demonstrates a high patient satisfaction and good functional outcomes after a median time of 8 years(IQR 7-10.75) in patients affected by retrocalcaneal bursitis who underwent endoscopic calcaneoplastic surgery with bursectomy.

Keywords:
retrocalcaneal bursitis, endoscopic calcaneoplasty, treatment, outcome
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