McBeth Zachary L, Galvin Joseph W, Robbins Justin
Department of Orthopaedics, Madigan Army Medical Center, Tacoma, Washington (ZLM, JR).
Department of Orthopaedics, Blanchfield Army Community Hospital, Fort Campbell, Kentucky (JG).
Foot Ankle Spec. 2018 Aug;11(4):362-364. doi: 10.1177/1938640017751187. Epub 2018 Jan 17.
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.
Level V: Technique tip.
当通过中央跟腱劈开入路手术治疗插入性跟腱病时，传统上是从远端向近端进行跟骨截骨术。我们描述了一种从近端到远端的简单技术，该技术能够对跟骨外生骨疣和跟腱附着点骨赘进行最佳切除，将软组织和皮肤的风险降至最低，提供与跟腱轴线平行的骨附着面，并避免截骨延伸至距下关节的风险。
V级：技术提示。
