Achilles tendon disorders (Haglund’s heel)

Depending on the severity, the resection of a Haglund deformity can be achieved using a minimally invasive procedure. A small incision (‘keyhole’) is made through which precision instruments are able to reach the Achilles tendon. These instruments are then used to smooth / remove the Haglund’s heel and bursa. This does not affect the Achilles tendon. When this operative method is used for the removal of Haglund’s exostosis, there is no need to immobilise the area. Even so, it is advisable to use walking aids that partially relieve the strain for about two weeks in order to protect the area and help it to heal and regenerate. If a more serious, advanced pathology is the diagnosis, the operation will be performed through an open incision. In some cases it is necessary to partially detach the Achilles tendon from the heel bone. Once the bone has been smoothed, the tendon is reattached to the correct position. Today there are very good techniques and implants available that allow the Achilles tendon to be very securely attached. Following an operation with an open incision, the area must be immobilised in a walking boot for six to eight weeks. This is necessary to optimise the healing process for the Achilles tendon after it has been partially detached. In addition, forearm crutches can help offer relief by bearing part of the load.