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Haglund deformity surgery lives at the intersection of bone, tendon, and some of the most unforgiving soft tissue in the foot and ankle. This 2024 Foot & Ankle International study of 370 patients confirms what many of us see clinically. Once BMI crosses 30, wound risk changes meaningfully. Wound breakdown occurred in 11 percent of obese patients compared to zero percent in normal BMI patients. What surprised me was what did not matter. Obesity class. Class I, II, and III patients all had similar
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