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Zadek Osteotomy.

Brittany M Ammerman1, Oliver Schipper2, A Holly Johnson3

  • 1Department of Foot and Ankle Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

The Orthopedic Clinics of North America
|March 19, 2026
PubMed
Summary
This summary is machine-generated.

The Zadek osteotomy, a surgical heel procedure, effectively treats Achilles tendinopathy and Haglund's deformity. Minimally invasive techniques improve outcomes, reduce pain, and boost patient satisfaction.

Keywords:
Achilles tendon impingementCalcaneal osteotomyHaglund’s deformityInsertional Achilles tendinopathyPercutaneous calcaneal osteotomyPosterior heel painZadek osteotomy

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery

Background:

  • Insertional Achilles tendinopathy and Haglund's deformity often require surgical intervention when conservative treatments fail.
  • The Zadek osteotomy addresses bony heel prominences causing Achilles tendon impingement.

Purpose of the Study:

  • To evaluate the efficacy of the Zadek osteotomy (dorsal closing wedge calcaneal osteotomy) for treating specific foot conditions.
  • To highlight the benefits of minimally invasive approaches in Zadek osteotomy procedures.

Main Methods:

  • Diagnosis and surgical planning involve thorough clinical and radiographic evaluation.
  • The Zadek osteotomy procedure, including minimally invasive/percutaneous techniques, is performed.
  • Outcomes are assessed based on pain scores, functional improvements, and patient satisfaction.

Main Results:

  • The Zadek osteotomy consistently leads to improved patient-reported pain scores.
  • Significant enhancements in functional outcomes are observed post-procedure.
  • High levels of patient satisfaction are reported following the surgery.

Conclusions:

  • The Zadek osteotomy is an effective surgical treatment for insertional Achilles tendinopathy and Haglund's deformity.
  • Minimally invasive Zadek osteotomy enhances outcomes and minimizes complications.
  • The procedure offers a reliable solution for improving heel pain and function.