Secondary Achilles Tendon Repair After Calcaneal Exostectomy for Haglund Deformity Using a Unique Surgical Technique

Author:

Hoffler Hayden L.1,Raymond Bryan2,Neerings Brian D.3

Affiliation:

1. Fellowship Trained Foot & Ankle Surgeon, Attending Physician, Orthopaedic Associates of Central Maryland, Baltimore, MD

2. Fellowship Trained Foot & Ankle Surgeon, Attending Physician, Comprehensive Foot & Ankle Specialists, Tampa, FL

3. Fellowship Director, Southeast Permanente Foot and Ankle Trauma and Reconstructive Fellowship, The Southeast Permanente Medical Group, Atlanta, GA

Abstract

Calcaneal exostectomy with Achilles tendon reattachment and repair is a common procedure used to treat insertional Achilles tendonitis and Haglund deformity. This was first described by Haglund in the early 1900s. Calcaneal exostectomy with Achilles tendon reattachment and repair reduces pain by removing the spur on the back of the heel. We describe a less common operative technique utilizing a Krackow suture technique to create another failure point during the repair of the Achilles tendon. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference25 articles.

1. Beitrag zur Klinik der Achillessehne;Haglund;Zeitschrift für Orthopädie und Unfallchirurgie,1928

2. Haglund’s syndrome: a commonly seen mysterious condition;Vaishya;Cureus,2016

3. Haglund’s syndrome: diagnosis and treatment using sonography;Sofka;HSS J,2006

4. Haglund syndrome with pump bump;Kucuksen;Med Arch,2012

5. Surgical takedown approaches to insertional Achilles tendinopathy: a systematic review;Thompson;J Foot Ankle Surg,2021

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