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.
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GillisCTLinJS.Use of a central splitting approach and near complete detachment for insertional calcific Achilles tendinopathy repaired with an Achilles bridging suture. J Foot Ankle Surg. 2016;55:235-239.
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