Related Experiment Video
Updated: Feb 15, 2026

Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
Published on: August 2, 2024
Proximal to Distal Exostectomy for the Treatment of Insertional Achilles Tendinopathy
Zachary L McBeth1,2, Joseph W Galvin1,2, Justin Robbins1,2
1Department of Orthopaedics, Madigan Army Medical Center, Tacoma, Washington (ZLM, JR).
Abstract:
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.
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