Foot & ankle · Heel reconstruction

Open Haglund’s deformity resection

Open Haglund’s deformity resection with SpeedBridge™ addresses chronic posterior heel pain caused by a Haglund’s bony prominence and degeneration of the Achilles tendon insertion. The procedure reshapes the calcaneal bone and reattaches the Achilles using the Arthrex SpeedBridge™ double-row anchor system for durable fixation. Consultations with our fellowship-trained foot and ankle surgeons in 1–3 days, with surgery typically 2–4 weeks later. Boot use is typical for the first weeks while the tendon heals, with progressive return to walking and exercise over 3–6 months.

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Knotless SpeedBridge™ reattachment
Four-anchor fixation
Surgery in 2–4 weeks
No referral required

Physiotherapist guiding a patient through a lunge exercise

5.0 from 250+ reviews

Knotless SpeedBridge™ fixation

Patient stories

Recovery, in their words.

5.0 from 250+ patient reviews

About a year and a half ago I injured my Achilles Tendon and exhausted all therapies. My injury progressed causing pain and mobility problems. Within two days of finding Pathway, I met Dr. Danny Arora. He determined what was wrong and I had the procedure done two months later. Pathway Surgery has been absolutely incredible, keeping me organized and answering all my questions!

Micaela Aguiar

Haglund’s deformity repair

I stumbled upon Pathway after a 4 year wait in public health care. From the beginning conversation to recovery, the experience was fantastic. My surgeon, Dr. Arora, is a ‘rock star’ — empathetic, approachable, and clearly communicates. From first meeting to surgery to recovery took only 3 months. I’ll have no hesitations going down this path again.

Claude Ricks

Foot surgery

What is Haglund’s deformity?

Haglund’s deformity is a bony enlargement on the back of the heel bone (calcaneus). This “pump bump” often irritates the Achilles tendon and the fluid-filled sac (bursa) between the bone and the tendon, leading to persistent inflammation and pain.

When conservative treatments like footwear changes and physical therapy fail, an open Haglund’s resection is performed to remove the excess bone and re-align the tendon for long-term relief and stability.

Key indications

Chronic pain at the back of the heel
Insertional Achilles tendonitis
Retrocalcaneal bursitis
Failed conservative management

Surgical technique

Open resection & SpeedBridge™.

The procedure begins with a precise resection of the bony prominence at the heel. Once the bone is reshaped, the Achilles tendon is reattached using the Arthrex SpeedBridge™ — a knotless system that uses low-profile anchors and high-strength suture tape to create a stable “bridge” across the repair site.

1

Advanced bone resection

The Haglund’s deformity is removed and the heel bone is reshaped to eliminate the source of mechanical irritation against the tendon.
2

SpeedBridge™ reattachment

A knotless, 4-anchor system compresses the tendon back to its natural footprint for stability and contact.

Key benefits

Four-anchor stability
Knotless (no irritation)
Earlier mobilization
Superior compression

Arthrex Achilles SpeedBridge technology demonstration

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Technology: Arthrex Achilles SpeedBridge™ System

Maximum stability

Multi-point attachment provides a secure fix that traditional single-anchor methods cannot match.

Optimal anatomy

Reshaping the bone and aligning the tendon simultaneously restores natural joint function.

Reduced scarring

Low-profile anchors and precision resection help minimize painful internal scar tissue formation.

Built for activity

SpeedBridge is designed for high-impact activities like running, supporting a return to sport.