Abordaje quirúrgico de la enfermedad de Haglund: revisión bibliográfica

espanolObjetivos: Conocer cual de los dos abordajes quirurgicos presenta menos complicaciones y mejores resultados post-quirurgicos segun las escalas descritas, para el tratamiento de la enfermedad de Haglund: endoscopico o abierto.Material y metodos: Se consultaron las bases de datos Pubmed, Bucea, Enfispo y Dialnet, desde enero del 2003 hasta 2018, en espanol y en ingles, bajo los terminos siguientes: “Haglund’s deformity”, “treatment Haglund”, “Haglund sindrome”, “Diagnostic Haglund”, "Haglund surgery”, “Calcaneal osteotomy”, “Haglund”.Resultados: Se incluyeron 33 articulos para la realizacion de este trabajo, de los cuales 13 eran estudios en los que se mostraba la comparacion entre tratamiento quirurgico abierto y endoscopico en sujetos con deformidad de Haglund. Se incluyeron 393 sujetos de los cuales se intervinieron 415 pies (161 por via endoscopica y 187 mediante abordaje abierto). 58% de los sujetos tratados por endoscopia calificaron este tratamiento como excelente y las complicaciones reportadas, que fueron menores, solo estuvieron presentes en 2 individuos, a diferencia de los tratados con cirugia abierta, donde 8 presentaron complicaciones menores y 5 complicaciones mayores.Conclusiones: El abordaje endoscopico tiene un porcentaje mayor de satisfaccion segun los resultados post-quirurgicos obtenidos ademas de una menor tasa de complicaciones. EnglishObjectives: To know which of the two surgical approaches is more effective and presents fewer complications for the treatment of Haglund's disease: endoscopic or open.Material and methods: The Pubmed, Bucea, Enfispo and Dialnet databases were consulted from January 2003 to 2018, in Spanish and English, under the following terms: "Haglund's deformity", "Haglund treatment", "Haglund syndrome", "Diagnostic Haglund", "Haglund surgery", "Calcaneal osteotomy", "Haglund".Results: Thirty-three articles were included for the realization of this work, of which thirteen were studies in which the comparison between open and endoscopic surgical treatment in subjects with Haglund deformity was shown. We included 393 subjects of whom 415 feet were operated (161 through endoscopy and 187 through open access). 58% of the subjects treated by endoscopy rated this treatment as excellent and reported complications, which were minor, were only present in 2 individuals, unlike those treated with open surgery, where 8 presented minor complications and 5 major complications.Conclusions: The endoscopic approach have a higher percentage of satisfaction as well as a lower rate of complications.