Evidence map›Paper›PMID 40216619›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Patient characteristics, postoperative protocols, and surgical outcomes in Haglund's resection: a single-institution retrospective cohort study.

Katherine M Kutzer, Kali J Morrissette, Kevin A Wu, Alexandra N Krez, Zoe W Hinton, Albert T Anastasio, James A Nunley, Annunziato Amendola

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katherine M KutzerDuke Medical Center, Durham, USA. katherine.kutzer@duke.edu.
Kali J MorrissetteDuke Medical Center, Durham, USA.
Kevin A WuDuke Medical Center, Durham, USA.
Alexandra N KrezNorthwell Health, New Hyde Park, USA.
Zoe W HintonDuke Medical Center, Durham, USA.
Albert T AnastasioDuke Medical Center, Durham, USA.
James A NunleyDuke Medical Center, Durham, USA.
Annunziato AmendolaDuke Medical Center, Durham, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaglund's syndrome represents a triad of posterosuperior calcaneal bony enlargement, retrocalcaneal bursitis, and Achilles tendinopathy. This study aims to improve the understanding of patient demographics, inform surgical and perioperative decision-making, and identify complications surrounding Haglund's resection.

methodsData were collected retrospectively from patients who received surgical treatment for Haglund's syndrome across 6 surgeons at an academic institution from January 2015 to July 2023. Demographic and surgical technique data were collected. Additional data included weightbearing status, complications, revisions, and date of patients' last follow-up. Descriptive statistics were completed.

resultsAcross 390 patients, the cohort averaged 55.14 years old and was 66.4% female. Most common racial groups included Caucasian (72.8%), African American (20.8%), and Asian (1.3%). The average Body Mass Index was 34.83 with range [21.1-53.4], and 17.4% had diabetes. Additionally, 68.5% of patients reported never smoking while 30% formerly or actively smoked. Repair type was divided among SpeedBridge (57.9%), titanium knotted suture anchor (21.3%), and knotless suture anchor (20.8%). Time to last follow-up had a median of 5.8 months, with range [0 days-7 years]. Postoperative recommendations included non weightbearing (68.7%), touchdown weightbearing (14.4%), weightbearing as tolerated (13.8%), and partial weightbearing (3.1%). Overall, 78 (20.0%) patients experienced a complication, including 40 (10.3%) persistent pain, 32 (8.2%) wound breakdowns, 7 (1.8%) infection, 6 (1.5%) plantar flexion weakness, 4 (1.0%) other, and 1 (0.3%) rupture, with 7 (1.8%) requiring revision.

conclusionThis retrospective study offers the largest single institution series for the operative management of Haglund's syndrome to date with long-term follow-up. Certain patient characteristics (older age, female sex, Black or African American race, obesity, and diabetes) were prevalent in this cohort, which reflects demographics previously reported in the literature. The different repair types and weightbearing recommendations demonstrated similar trends in outcomes, with a low reoperation rate of 1.8%. LEVEL OF EVIDENCE: Level III, Retrospective Cohort Study.

Indexed as

Achilles TendonBursitisCalcaneusTendinopathyAdultAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeComplicationsDemographicsHaglund’s syndromeInsertional achilles tendinopathySurgical repairWeightbearing

Identifiers

PMID40216619

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.