Bony resection and suture anchor repair in haglund deformity with insertional achilles tendinopathy

Introduction: Achilles tendinopathy is a combination of pain, swelling, and impaired performance due to Achilles tendon condition. Chronic case of this disease mostly failed with conservative treatment, however, operative approach will improve the function of the Achilles tendon. Methods: We report an elderly patient with Achilles tendinopathy, who clinically had Haglund deformity and insertional Achilles tendinopathy. The patient had failed nonoperative treatment and undergone surgery with calcaneal osteotomy and Achilles tendon repair using suture anchor. Results: The primary goal of the surgery in Achilles tendinopathy was correction of the deformity and thorough debridement at the site of inflammation. The Haglund deformity can be corrected with posterior calcaneal osteotomy and calcification at the Achilles insertion must be removed. Because the site of calcification was at the distal end of the Achilles tendon, suture anchor repair was the best choice to get stable fixation of the tendon. Conclusion : Bony resection for Haglund deformity and debridement and suture anchor repair for the insertional Achilles tendinopathy are effective surgical treatments for Achilles tendinopathy