CME OnDemand: New Advances in Sports and Forefoot/MIS - What's New and What's Next?-MIS Percutaneous Zadek Osteotomy for Insertional Achilles Tendinopathy

MIS Percutaneous Zadek Osteotomy for Insertional Achilles Tendinopathy - Tyler A. Gonzalez, MD, MBA

Video Transcription

Video Summary

The video is a lecture by Tyler Gonzalez from the University of South Carolina on the topic of minimally invasive surgery (MIS) for insertional Achilles tendinopathy. Gonzalez discusses the controversy surrounding the surgical management of this condition, particularly in athletes. He explains that the most common surgical procedure for insertional Achilles tendinopathy is open debridement, but there are associated complications such as extended recovery time, wound problems, and pain. Gonzalez introduces the Zadig osteotomy, a dorsal closing wedge osteotomy of the calcaneus, as a minimally invasive alternative. He highlights the benefits of this procedure, including reducing tension on the Achilles tendon and decompressing the bursa and posterior heel. Gonzalez presents data from various studies showing good functional outcomes and high return to sport rates for patients who undergo the Zadig osteotomy. He also provides details on the surgical technique, fixation with screws, and post-operative protocol. Gonzalez concludes by sharing key points and pearls regarding the Zadig osteotomy.

Keywords

minimally invasive surgery

insertional Achilles tendinopathy

Zadig osteotomy

complications

functional outcomes

surgical technique