Calcaneoplasty for Haglund's deformity is a commonly performed procedure which can be approached open or endoscopically. When performed open, it is common to split the Achilles tendon and reattach it to the calcaneus with bone anchors, therefore possibly losing pullout strength. This study compares the pullout strength between the different approaches using cadavers and determines that the endoscopic approach had more than three times greater pullout strength than the midline tendon splitting technique. The greater pullout strength may have an effect on postoperative management for these patient.

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