Haglund’s deformity is characterized by a symptomatic osseous prominence of the posterosuperior calcaneus and is frequently associated with retrocalcaneal bursitis, calcaneal marrow edema, and Achilles tendon pathology, including insertional tendinopathy, and partial-thickness insertional tearing. When conservative management fails, surgical intervention may be indicated.

Traditional open resection techniques remain effective but are associated with increased risk of wound complications, prolonged recovery and sural neuritis. Minimally invasive surgical (MIS) approaches, including two-portal endoscopic calcaneoplasty or fluoroscopy-guided bursectomy with bony resection, may reduce incision size and wound morbidity; however, these techniques can provide limited access for debridement of extensive calcific deposition or advanced insertional Achilles tendinopathy. (1)(2)

The Aztron TendMIN® System enables an minimally invasive approach to Haglund’s deformity resection and Achilles tendon reinforcement through < 1 cm incisions, while preserving the native Achilles tendon attachment. Using ultrasound- and fluoroscopy-guided instrumentation, surgeons can perform targeted bony resection, address calcific pathology, and reinforce the tendon with precise, controlled suture placement, while minimizing soft-tissue disruption and avoiding critical neurovascular structures.

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Aztron Advantages:

+ Less than 1cm incision (1)
+ Minimized soft-tissue disruption (1)
+ Enables precise suture placement at optimal locations (1)
+ Preservation of the native Achilles tendon attachment (2)​

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Reference:

1- Wang, C.-C., Chen, P.-Y., Wang, T.-M., & Wang, C.-L. (2012). Ultrasound-Guided Minimally Invasive Surgery for Achilles Tendon Rupture: Preliminary Results. Foot & Ankle International, 33(7), 582–590. doi:10.3113/fai.2012.0582

​2- Carrington, S. C. (2026). Minimally Invasive Haglund’s Deformity Resection and Tendon Reinforcement Using the Aztron TendMIN® System: A Case Report [White paper]