Reduction osteotomy for Haglund hump – surgical options and results

Reduction osteotomy for Haglund hump – surgical options and results - Background: Calcaneal hump (Haglund hump/ winter heel) is a clinical condition affecting 25% of patients who present with posterior heel pain. This is one of the main reasons for chronic heel pain. Associated comorbidities are rheumatoid arthritis, gouty arthritis and obesity. Most of the patients may respond to conservative treatment in the form of medication, restricted activities, orthosis, physiotherapy and modification of aggravating factors. 20 to 40% patients may requires surgical intervention. Materials and Methods: 20 patients with resistant heel pain due to calcaneal hump were treated between year 2019 to 2023 using reduction osteotomy in our institution. 14 patients were female and 6 patients were males. Age group was between 48 and 62 with mean age of 55. 16 patients were having associated comorbidities. Follow up period was 12 months to 48 months. Results: All patients were assessed with AOFAS score before and periodically after surgery. All parameters improved after surgery. Patients disability score improved. One patient had wound healing problem. One patient had persistence of symptoms. Conclusion: Reduction osteotomy of calcaneal hump is a simple but very useful surgical option for persistent pain and disability due to calcaneal hump. This is the treatment of choice when other modalities fail in selected cases. Keywords: Heel pain, Winter heel, Calcaneal hump, Humpectomy, Reduction osteotomy, Tendoachilles rupture, Calcaneal bursitis.