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Posterior Midline Approach for Treatment of Achilles Calcific Insertional Tendonopathy

Leduc, Stephane MD, FRSCS*; Walling, Arthur Knight MD

Techniques in Foot & Ankle Surgery:
doi: 10.1097/BTF.0b013e3181fcb1a6
Techniques
Abstract

A posterior midline approach for the surgical treatment of chronic calcific Achilles insertional tendonitis is a safe and reliable procedure. It respects the angisomal blood supply to the Achilles tendon and allows direct exposure to the primary pathology, which forms centrally in the tendon. When coupled with the resection of the Haglund deformity and the Strayer release at the musculotendinous junction, this technique provides reproducible and reliable results.

Author Information

*Division Chirurgie Orthopédique, Hôpital du Sacré Coeur de Montréal, Université de Montréal, Gouin Ouest, Montréal, Québec, Canada

Foot and Ankle Fellowship, Tampa General Hospital, Florida Orthopaedic Institute, Telecom Parkway North, Tampa, FL

Address correspondence and reprint requests to Arthur Knight Walling, MD, Foot and Ankle Fellowship, Tampa General Hospital, Florida Orthopaedic Institute, Telecom Parkway North, Tampa, FL. e-mail: awall350@aol.com.

© 2010 Lippincott Williams & Wilkins, Inc.