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BioMed Research International
Volume 2016, Article ID 1895948, 7 pages
Clinical Study

The Double-Row Suture Technique: A Better Option for the Treatment of Haglund Syndrome

1Nanjing University of Chinese Medicine, Nanjing, China
2Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, China

Received 29 June 2016; Accepted 26 October 2016

Academic Editor: Ying-Hui Hua

Copyright © 2016 Yiqiu Jiang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. The purpose of this study is to investigate whether double-row suture technique is a better option for the treatment of Haglund syndrome than single-row suture technique regarding the surgical outcomes. Methods. Thirty-two patients with Haglund syndrome were recruited in this study. Patients were divided into Group 1 (treated with single-row suture technique) and Group 2 (treated with double-row suture technique). There were 16 patients in each group. The AOFAS-ankle-hindfoot scale, VISA-A scores, and Arner-Lindholm standard were used to assess the clinical outcomes. The pre- and postoperative X-rays were used to assess the radiological outcome. Results. Both AOFAS-ankle-hindfoot scale score and VISA-A score had varying degrees of improvement in both groups. In latest follow-up assessment, the Arner-Lindholm standard investigation showed there were 7 excellent, 7 good, and 2 bad outcomes in Group 1 and 12 excellent and 4 good outcomes in Group 2. In Group 2 patients, there were no more posterosuperior bony prominence of the calcaneum in post-op X-rays and there were no recurrent cases. The ankle-related scale score was statistically significantly higher in Group 2 than in Group 1 (). Conclusion. The double-row suture technique seems to be a better option to treat Haglund syndrome than single-row suture technique.