Proximal to Distal Exostectomy for the Treatment of Insertional Achilles Tendinopathy. Issue 4 (August 2018)

• Record Type: Journal Article
• Authors: McBeth, Zachary L.; Galvin, Joseph W.; Robbins, Justin
• Is Part Of: Foot & ankle specialist. Volume 11:Issue 4(2018)
• Page Start: 362
• Page End: 364
• Publication Date: 2018-08
• Subjects: Achilles tendonitis -- foot surgery techniques -- Haglund's deformity, calcaneal exostosis, Achilles enthesophyte; Podiatry -- Periodicals; Orthopedics -- Periodicals; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; 617.585
• DOI: 10.1177/1938640017751187
• Languages: English
• ISSNs: 1938-6400

Abstract

When insertional Achilles tendinopathy is addressed surgically via a central-Achilles splitting approach, the calcaneal osteotomy has classically been performed from distal to proximal. We describe a simple proximal to distal technique that allows optimal resection of both the calcaneal exostosis and Achilles enthesophyte, minimizes risk to the soft tissues and skin, provides a bony attachment surface parallel to the axis of the Achilles tendon, and avoids the risk of osteotomy extension into the subtalar joint. Levels of Evidence: Level V: Technique tip