ArticleFoot & ankle orthopaedics2026
Percutaneous Zadek Osteotomy for Calcific Insertional Achilles Tendinopathy: An Exploratory Comparison of Outcomes With and Without Retrocalcaneal Calcification.
Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Calcific insertional Achilles tendinopathy (CIAT) may remain symptomatic despite prolonged nonoperative treatment. Minimally invasive (MIS) Zadek osteotomy unloads the Achilles insertion biomechanically, but whether calcific deposits require excision remains unclear. Methods: This exploratory comparative case series included 20 consecutive patients undergoing MIS Zadek osteotomy. Patients were grouped based on the presence (n = 10) or absence (n = 10) of calcification. Outcomes included visual analog scale (VAS) and European Foot & Ankle Society (EFAS) scores. Non-parametric statistical analysis was performed. Results: Both groups demonstrated substantial improvement, with median VAS decreasing from 7 (IQR 2) to 0 (IQR 1) at 1 year. EFAS scores improved from 12 (IQR 6) preoperatively to 24 (IQR 2) at final follow-up. With the numbers available, no significant between-group difference could be detected in VAS ( Conclusion: MIS Zadek osteotomy was associated with substantial clinical improvement regardless of calcification. Excision of calcific deposits may not be necessary in all cases, although larger studies are required. Level of Evidence: Level IV, case series.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.