Minimally invasive surgeries for insertional Achilles tendinopathy:A commentary review

作     者：Kenichiro Nakajima 

作者机构：Center for Foot and Ankle SurgeryDepartment of Orthopedic SurgeryYashioCentral General HospitalYashio-shi 340-0814SaitamaJapan 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2023年第14卷第6期

页      面：369-378页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Achilles tendon Endoscopy Fluoroscopy Osteotomy Ultrasonography Tendinopathy Surgery 

摘      要：Studies of minimally invasive surgery for insertional Achilles tendinopathy are *** establish this surgery,the following techniques must be minimally invasive:Exostosis resection at the Achilles tendon insertion,debridement of degenerated Achilles tendon,reattachment using anchors or augmentation using flexor hallucis longus(FHL)tendon transfer,and excision of the posterosuperior calcaneal *** on these four perspectives were reviewed to establish minimally invasive surgery for insertional Achilles *** for exostosis resection were demonstrated in one case study,where blunt dissection around the exostosis was performed,and the exostosis was resected using an abrasion burr under fluoroscopic *** for debridement of degenerated Achilles tendon were demonstrated in the same case study,where the space left after resection of the exostosis was used as an endoscopic working space,and the degenerated Achilles tendon and intra-tendinous calcification were debrided *** tendon reattachment techniques using suture anchors have been demonstrated in several ***,there are no studies on FHL tendon transfer techniques for Achilles tendon *** contrast,endoscopic posterosuperior calcaneal prominence resection is already ***,studies on ultrasound-guided surgeries and percutaneous dorsal wedge calcaneal osteotomy as minimally invasive surgery were reviewed.