ArticleFoot & ankle orthopaedics2024
Percutaneous vs Open Zadek Osteotomy for Treatment of Insertional Achilles Tendinopathy and Haglund's Deformity: A Systematic Review.
Article in Foot & ankle orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- [Minimally invasive surgery for insertional Achilles tendinopathy : Do Haglund resection, refixation of the Achilles tendon and Zadek osteotomy also work using minimally invasive techniques?]Orthopadie (Heidelberg, Germany) · 2026Review
- Beyond the bunion: Trends in minimally invasive techniques in foot and ankle surgery.Bulletin of the Hospital for Joint Disease (2013) · 2026Review
- Percutaneous Debridement and Double-Row Repair for Insertional Achilles Tendinopathy With Immediate Postoperative Weightbearing: A Consecutive Case Series.Foot & ankle orthopaedics · 2026Article
- Short-term Outcomes of Percutaneous Zadek Osteotomy for Insertional Achilles Tendinopathy in Cavus vs Non-Cavus Feet: A Comparative Multi-Center Study.Foot & ankle orthopaedics · 2026Article
- Return to Sport and Functional Outcomes After Minimally Invasive Zadek Osteotomy for Insertional Achilles Tendinopathy in Young Athletes: A Retrospective Case Series.Foot & ankle orthopaedics · 2026Article
- Percutaneous Zadek Osteotomy and Sural Nerve Proximity: A Cadaveric Anatomical Mapping Study.Foot & ankle orthopaedics · 2026Article
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Percutaneous Zadek osteotomy (ZO) has emerged as a surgical treatment of insertional Achilles tendinopathy (IAT) over the last decade. Existing literature is limited regarding the comparison of this approach with the more established, open ZO technique. This systematic review aims to evaluate and compare the current data on open vs percutaneous ZO approaches to help set evidence-based guidelines. Methods: A systematic literature search was performed using the keywords (Zadek osteotomy) OR (Keck and Kelly osteotomy) OR (dorsal closing wedge calcaneal osteotomy) OR (Haglund Deformity) OR (Haglund Syndrome) OR (Insertional Achilles Tendinopathy) and MeSH terms Results: A total of 17 studies were reviewed, including 611 subjects and 625 ZO procedures. Of these procedures, 81 (11%) subjects had a percutaneous and 544 (89%) subjects had an open ZO. The mean follow-up time was 16.1 months for patients treated with percutaneous ZO and 36.1 months for patients treated with open ZO. Both open and percutaneous studies included in this review showed postoperative improvements in AOFAS, FFI, VISA-A, and VAS scores in patients with IAT. The reported complication rate was 5.8% among patients treated with percutaneous ZO and 10.2% among patients treated with open ZO. Conclusion: Percutaneous ZO is an emerging approach with substantially fewer documented cases compared with the open ZO. Both percutaneous and open ZO appear to be relatively effective treatments for insertional Achilles tendinopathy with Haglund's deformity. The lower complication rates reported for percutaneous ZO is encouraging. Further investigation with more subjects undergoing percutaneous ZO is clearly needed.
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