Technique and results of Achilles tendon detachment and reconstruction for insertional Achilles tendinosis.

Background: Insertional Achilles tendinosis is a clinical entity that commonly occurs with other posterior heel disorders such as retrocalcaneal bursitis, Haglund deformity, intratendinous ossification and pretendinous bursitis. Complete detachment and reconstruction of the Achilles tendon was evaluated as a method of treatment for this condition.

Methods: Seventy-five patients (81 heels) were treated over a 5-year period for chronic insertional Achilles tendinosis.