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Calcaneus Exostectomy and Achilles Tendon Reattachment for the Treatment of Haglund Deformity

Phisitkul, Phinit MD*; Rungprai, Chamnanni MD

Techniques in Foot & Ankle Surgery: June 2017 - Volume 16 - Issue 2 - p 74–80
doi: 10.1097/BTF.0000000000000150
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Insertional Achilles tendinosis with Haglund deformity is a common cause of posterior heel pain and the diagnosis can be established by history, physical examination, and imaging. Operative treatment may be required if the conservative treatment has failed. A common surgical procedure usually includes open debridement of Achilles tendon and retrocalcaneal bursa, exostectomy of posterior superior aspect of the calcaneus, and reattachment of the Achilles tendon using a double-row suture anchors. The results of these procedures demonstrated significant improvement of functional outcomes and pain relief with minimal complications.

Level of Evidence: Diagnostic Level V. Expert Opinions.

*Clinical Associate Professor and Medical Director of Quality and Safety, Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinic, Iowa City, IA

the Foot and Ankle Surgeon, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand

The authors, faculty, and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.

Address correspondence and reprint requests to Phinit Phisitkul, MD, Department of Orthopaedics and Rehabilitation, University of Iowa Hospital and Clinic, 200 Hawkins Drive, Iowa City, IA 52242. E-mail: phinit-phisitkul@uiowa.edu.

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Techniques in Foot & Ankle Surgery includes CME-certified content that is designed to meet the educational needs of its readers. This activity is available for credit through May 31, 2018.

Earn CME credit by completing a quiz about this article. You may read the article here, on the TFAS website, or in the TFAS iPad app, and then complete the quiz, answering at least 80 percent of the questions correctly to earn CME credit. The cost of the CME exam is $10. The payment covers processing and certificate fees. If you wish to submit the test by mail, send the completed quiz with a check or money order for the $10.00 processing fee to the Lippincott CME Institute, Inc., Wolters Kluwer Health, Two Commerce Square, 2001 Market Street, 3rd Floor, Philadelphia, PA 19103. Only the first entry will be considered for credit, and must be postmarked by the expiration date. Answer sheets will be graded and certificates will be mailed to each participant within 6 to 8 weeks of participation.

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