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World J Orthop. Jun 18, 2023; 14(6): 369-378
Published online Jun 18, 2023. doi: 10.5312/wjo.v14.i6.369
Minimally invasive surgeries for insertional Achilles tendinopathy: A commentary review
Kenichiro Nakajima
Kenichiro Nakajima, Center for Foot and Ankle Surgery, Department of Orthopedic Surgery, YashioCentral General Hospital, Yashio-shi 340-0814, Saitama, Japan
Author contributions: Nakajima K was the only author and performed everything regarding this study.
Conflict-of-interest statement: The author declares no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kenichiro Nakajima, MD, Chief Doctor, Center for Foot and Ankle Surgery, Department of Orthopedic Surgery, Yashio Central General Hospital, 845 Minamikawasaki, Yashio-shi 340-0814, Saitama, Japan. nakajimakenichiro@hotmail.co.jp
Received: December 23, 2022
Peer-review started: December 23, 2022
First decision: April 13, 2023
Revised: April 26, 2023
Accepted: May 9, 2023
Article in press: May 9, 2023
Published online: June 18, 2023
Processing time: 177 Days and 7.9 Hours
Core Tip

Core Tip: Studies of minimally invasive surgery for insertional Achilles tendinopathy are limited. Therefore, to establish this surgery, the following techniques must be minimally invasive: (1) Exostosis resection at the Achilles tendon insertion; (2) Debridement of degenerated Achilles tendon; (3) Reattachment using anchors or augmentation using flexor hallucis longus tendon transfer; and (4) Excision of the posterosuperior calcaneal prominence. This article reviewed studies from these four perspectives to establish minimally invasive surgery for insertional Achilles tendinopathy. In addition, studies on ultrasound-guided surgeries and dorsal percutaneous dorsal wedge calcaneal osteotomy as minimally invasive surgery were reviewed.