Central Tendon-Splitting Approach and Double Row Suturing for the Treatment of Insertional Achilles Tendinopathy

Figure 9

Case 4, a 61-year-old woman showed right posterior heel pain for 1 year, and she also underwent calcaneal and medial malleolus medialis fracture 1 year before the symptom. Due to osteoporosis and inappropriate force during operation, the anchor sank into the calcaneal body, causing the decreased pullout strength of anchor. (a) Preoperative radiograph showed the bone spur near the posterior calcaneus and osteoporosis sign. (b) Postoperative radiograph demonstrated the anchor had sunk into the calcaneus body.

(a)

(b)