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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Zadek Calcaneal Osteotomy.

Thomas S Roukis1, Christopher F Hyer2

  • 1Department of Foot & Ankle Surgery, Rothman Orthopaedic Institute, Orlando, Florida, USA.

Clinics in Podiatric Medicine and Surgery
|November 20, 2025
PubMed
Summary
This summary is machine-generated.

The Zadek closing-wedge calcaneal osteotomy offers an effective surgical solution for Haglund

Keywords:
Achillies insertional tendinopathyCalcaneus osteotomy guide systemHaglund’s diseaseKeck-Kelly calcaneal osteotomyRetrocalcaneal bursitis

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Surgery
  • Skeletal Biomechanics

Background:

  • Haglund's triad traditionally managed with open surgery.
  • Minimally invasive techniques are gaining traction.
  • Open approach remains the gold standard for Haglund's triad.

Purpose of the Study:

  • Evaluate the Zadek closing-wedge calcaneal osteotomy as an alternative surgical technique.
  • Assess the efficacy and complication rates of the Zadek osteotomy for Haglund's triad.
  • Compare open versus percutaneous approaches for Haglund's triad management.

Main Methods:

  • Systematic review and meta-analysis of Zadek osteotomy outcomes.
  • Analysis of surgical technique, including osteotomy guide utilization.
  • Evaluation of internal fixation methods and their impact on patient results.

Main Results:

  • The Zadek calcaneal osteotomy effectively resolves symptoms associated with Haglund's triad.
  • Proper surgical technique is crucial for minimizing soft-tissue and osseous complications.
  • Internal fixation choice significantly influences patient outcomes.

Conclusions:

  • The Zadek closing-wedge calcaneal osteotomy is a reliable alternative for Haglund's triad.
  • This open surgical technique consistently yields positive outcomes with low complication rates when performed correctly.