Heel to Hero: MIS Techniques for Haglund's, Zadek, and Achilles Tears

Heel to Hero explores modern minimally invasive strategies for posterior heel pathology, focusing on Haglund’s deformity, the Zadek osteotomy, and Achilles tears. We’ll break down percutaneous burr resection for Haglund’s and how MIS techniques reduce soft-tissue morbidity in an area notorious for wound issues. The discussion then shifts to the Zadek osteotomy—a dorsal closing-wedge calcaneal osteotomy that decreases posterior calcaneal pitch and unloads the Achilles insertion without direct tendon violation—highlighting key radiographic parameters and patient selection.

We’ll finish with minimally invasive Achilles repair and insertional management, including percutaneous midsubstance repair and limited-incision debridement with anchor fixation. Expect concise, practical pearls on indications, nerve protection, tendon tensioning, and postoperative protocols that balance biologic healing with early functional recovery.