{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:26:09Z","timestamp":1792707969588,"version":"4.5.0"},"reference-count":63,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Insertional Achilles tendinopathy (IAT) is difficult to manage despite multiple surgical options. Two of the surgical options include an open midline Achilles tendon\u2013splitting Haglund resection and a percutaneous Zadek osteotomy (ZO). The current study compared the patient-reported outcomes and complications of open vs percutaneous procedures in patients with IAT\u2009\u00b1\u2009Haglund deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective comparative study of consecutive patients who underwent either an open midline Achilles tendon\u2013splitting Haglund resection or percutaneous ZO for IAT\u2009\u00b1\u2009Haglund deformity at a single institution with minimum 12\u2009months\u2019 follow-up was performed. Preoperative and postoperative Patient-Reported Outcome Measurement Information System (PROMIS) scores and complications were recorded for each patient and compared between cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Forty-three patients were treated with an open midline Achilles tendon\u2013splitting Haglund resection and 34 patients were treated with a percutaneous ZO for IAT\u2009\u00b1\u2009Haglund deformity. PROMIS function (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), pain (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), and mobility (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) scores significantly improved in patients who received either procedure. In the open midline Achilles tendon\u2013splitting Haglund resection cohort, a significant increase in wound complications (11\/43, 25.6%) was observed in comparison to the percutaneous ZO group (1\/34, 2.9%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both techniques yielded clinically meaningful improvements in PROMIS scores. In this modest retrospective cohort, the percutaneous ZO was associated with fewer minor wound complications; however, this observation should be interpreted cautiously given the limited sample size, short follow-up, and potential selection bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007251359639","type":"journal-article","created":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T10:48:47Z","timestamp":1759661327000},"page":"1103-1114","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Percutaneous Zadek Osteotomy vs Open Haglund Resection for Insertional Achilles Tendinopathy: Early Outcomes and Complication Rates"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-3118","authenticated-orcid":false,"given":"Sarah Hall","family":"Kiriluk","sequence":"first","affiliation":[{"name":"University of South Carolina, School of Medicine, Columbia, SC, USA"},{"name":"Prisma Health Orthopedics, Lexington, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ettore","family":"Vulcano","sequence":"additional","affiliation":[{"name":"Columbia University Division of Orthopedics at Mount Sinai Medical Center, Miami Beach, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1248-640X","authenticated-orcid":false,"given":"Oliver N.","family":"Schipper","sequence":"additional","affiliation":[{"name":"Anderson Orthopaedic Clinic, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0821-7939","authenticated-orcid":false,"given":"Jonathan R. M.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Duke University Orthopedics, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Holly","family":"Johnson","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1980-7621","authenticated-orcid":false,"given":"Heidi","family":"Ventresca","sequence":"additional","affiliation":[{"name":"University of South Carolina, School of Medicine, Columbia, SC, USA"},{"name":"Prisma Health Orthopedics, Lexington, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4738-8468","authenticated-orcid":false,"given":"Chase","family":"Gauthier","sequence":"additional","affiliation":[{"name":"University of South Carolina, School of Medicine, Columbia, SC, USA"},{"name":"Prisma Health Orthopedics, Lexington, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6141-8957","authenticated-orcid":false,"given":"Harley T.","family":"Davis","sequence":"additional","affiliation":[{"name":"University of South Carolina, School of Medicine, Columbia, SC, USA"},{"name":"Prisma Health Orthopedics, Lexington, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9348-6320","authenticated-orcid":false,"given":"Preston","family":"Harrison","sequence":"additional","affiliation":[{"name":"University of South Carolina, School of Medicine, Columbia, SC, USA"},{"name":"Prisma Health Orthopedics, Lexington, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lewis","sequence":"additional","affiliation":[{"name":"King\u2019s Foot and Ankle Unit, King\u2019s College Hospital NHS Foundation Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Lam","sequence":"additional","affiliation":[{"name":"Orthopaedic and Arthritis Specialist Centre, Chatswood, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9444-087X","authenticated-orcid":false,"suffix":"III","given":"J. 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