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Proximal to Distal Exostectomy for the Treatment of Insertional Achilles Tendinopathy.
Foot & Ankle Specialist 2018 August
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.
LEVELS OF EVIDENCE: Level V: Technique tip.
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