Essential Insights On Treating Retrocalcaneal Exostosis

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Author(s): 
Michael S. Downey, DPM, FACFAS­­

In Conclusion

   Surgeons should not hastily decide to perform a retrocalcaneal exostectomy with reflection, debridement and reattachment of the tendo-Achilles. The procedure requires a significant postoperative recovery period and is associated with several dreaded postoperative complications. I have found the modified surgical approach, as described above, to be a simple, reproducible and reliable surgical procedure when it is indicated.

Dr. Downey is the Chief of the Division of Podiatric Surgery at Penn Presbyterian Medical Center in Philadelphia. He is also a Senior Faculty Member of the Podiatry Institute.

Dr. Burks is a Fellow of the American College of Foot and Ankle Surgeons, and is board-certified in foot and ankle surgery. He is in private practice in Little Rock, Ark.

For further reading or to get information on reprints, visit www.podiatrytoday.com.




References:

1. Cicchinelli LD. Another approach to posterior heel surgery. In: Update 2002: The Proceedings of the Annual Meeting of the Podiatry Institute. Podiatry Institute, Tucker, Ga., 2002, pp. 46-51.
2. Downey MS, Kalish S. Surgical excision and repair of calcification of the tendo-Achilles. In McGlamry ED, McGlamry R (eds.): Doctors Hospital Podiatric Education and Research Institute - Surgery of the Foot and Leg 1986. Podiatry Institute Publishing Company, Tucker, Ga., 1986, pp. 134-139.
3. Downey MS, Kalish S. Surgical excision and repair of calcification of the tendo Achilles. In Ruch JA, Vickers NS (eds.): Reconstructive Surgery of the Foot and Leg - Update ‘92. Podiatry Institute Publishing Company, Tucker, Ga., 1992, pp. 85-88.
4. Downey MS. Retrocalcaneal exostectomy with reattachment of tendo-Achilles: a modified approach. In Miller SJ, Mahan KT, Yu GV, Camasta CA, Vickers NS (eds.): Reconstructive Surgery of the Foot and Leg - Update ‘98. Podiatry Institute, Tucker, Ga., 1998, pp. 88-94.
5. Fowler A, Philip JF. Abnormality of the calcaneus as a cause of painful heel: its diagnosis and operative treatment. Br J Surg 32:494-498, 1945.
6. Sundberg SB, Johnson KA. Painful conditions of the heel. In Jahss MH (ed.): Disorders of the Foot and Ankle - Medical and Surgical Management, 2nd ed., Vol. 2. WB Saunders, Philadelphia, 1991, pp. 1382-1395.




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