Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Feb 1;13(4):102912.
doi: 10.1016/j.eats.2024.102912. eCollection 2024 Apr.

Endoscopic Calcaneoplasty With Bony Debridement and Radiofrequency

Jun Rui Don Koh  1 , Charles Kam King Kon  1 , S B M Darshana Chandrakumara  1
Affiliations

Endoscopic Calcaneoplasty With Bony Debridement and Radiofrequency

Jun Rui Don Koh et al. Arthrosc Tech. .

Abstract

Haglund's deformity refers to the enlargement of the posterosuperior tuberosity of the calcaneus, which can cause debilitating posterior heel pain and swelling. Calcaneoplasty is indicated for the treatment of Haglund's deformity following a failure of conservative treatment. Endoscopic calcaneoplasty confers a few advantages over open surgery and has been growing in popularity as the preferred technique. This Technical Note presents an endoscopic calcaneoplasty technique with bone debridement followed by treatment with a Topaz radiofrequency device, with the patient in a supine position.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

Figures

Fig 1
Fig 1
Endoscopic calcaneoplasty of the right leg. A triangle support is placed under the right knee to flex the hip and knee. The operated ankle is passively held in plantarflexion due to the assistance of gravity.
Fig 2
Fig 2
Endoscopic calcaneoplasty of the right leg. Medial portal placement is identified by drawing a plane from the midfoot to the calcaneal tuberosity (A) and a plane extending inferiorly along the posterior margin of the medial malleolus (B). The medial portal is placed just posterior to the intersection between the 2 planes (C).
Fig 3
Fig 3
Endoscopic calcaneoplasty of the right leg. Site of lateral portal placement is identified by transillumination of the skin with light provided by the arthroscope.
Fig 4
Fig 4
Endoscopic calcaneoplasty of the right leg. Soft tissue is cleared with use of an arthroscopic shaver or a coblation wand until the posterior calcaneal tuberosity is fully visualized.
Fig 5
Fig 5
Endoscopic calcaneoplasty of the right leg. Lateral portal as the viewing portal and medial portal as the working portal. Bone resection of the calcaneal tuberosity is performed using the Bonecutter. The Bonecutter is aimed toward the viewing portal and deep to the Achilles tendon. The ankle is passively plantarflexed to relax the Achilles tendon and increase the angle between the Achilles tendon and superior calcaneal tuberosity to allow more room for bone resection and to prevent iatrogenic injury.
Fig 6
Fig 6
Endoscopic calcaneoplasty of the right leg. The lateral portal is the viewing portal. Bone resection is performed until a smooth, flat surface is achieved. The Achilles tendon attachment junction is also observed while passively ranging the ankle to ensure no residual impingement or contact between the tendon and any bony prominences.
Fig 7
Fig 7
Radiofrequency application to the right leg. The Achilles tendon insertion site is identified by palpating the calcaneal tuberosity and edges of Achilles tendon. The sites of radiofrequency application are marked out in a grid-like pattern with intervals of 5 to 8 mm. A puncture in the skin is first made with a 1.6-mm K-wire (A), before introducing the tip of the Topaz (B), and the ablation function activated while simultaneously advancing the tip further into the tissue.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. van Dijk C.N., van Dyk G.E., Scholten P.E., Kort N.P. Endoscopic calcaneoplasty. Am J Sports Med. 2001;29:185–189. doi: 10.1177/03635465010290021101. - DOI - PubMed
    1. Kaynak G., Öğüt T., Yontar N.S., Botanlıoğlu H., Can A., Ünlü M.C. Endoscopic calcaneoplasty: 5-Year results. Acta Orthop Traumatol Turc. 2013;47:261–265. doi: 10.3944/aott.2013.3003. - DOI - PubMed
    1. Jerosch J., Nasef N.M. Endoscopic calcaneoplasty—rationale, surgical technique, and early results: A preliminary report. Knee Surg Sports Traumatol Arthrosc. 2003;11:190–195. doi: 10.1007/s00167-003-0365-8. - DOI - PubMed
    1. Roth K.E., Mueller R., Schwand E., et al. Open versus endoscopic bone resection of the dorsolateral calcaneal edge: A cadaveric analysis comparing three dimensional CT scans. J Foot Ankle Res. 2014;7:56. doi: 10.1186/s13047-014-0056-3. - DOI - PMC - PubMed
    1. Jerosch J., Schunck J., Sokkar S.H. Endoscopic calcaneoplasty (ECP) as a surgical treatment of Haglund's syndrome. Knee Surg Sports Traumatol Arthrosc. 2007;15:927–934. doi: 10.1007/s00167-006-0279-3. - DOI - PubMed

LinkOut - more resources