Medial and lateral approaches to insertional achilles disease

Abstract

Insertional Achilles disease offers a number of challenges for the surgeon. One of the areas of debate is the optimal surgical approach to deal with the varied pathology in this anatomic area. The choice of approach is guided by the anatomic location of the pathology, the need to access non-Achilles structures, and surgeon preference. This chapter describes the medial and lateral approaches to the insertion, as well as the variants of each, based on the anatomy and pathology. © Springer Science+Business Media, LLC 2009.