Introduction: Retrocalcaneal bursitis also known as Haglund’s syndrome, a common cause of pain in the posterior heel consists of a painful swelling of the local soft tissues and prominence of the posterosuperior calcaneal projection. Conservative treatment of retrocalcaneal bursitis doesn’t give complete relief of symptoms in most of the cases. Patients resistant to such conservative treatment are considered for excision of the posterosuperior portion (Calcaneal osteotomy) of the calcaneus. Hence the present study is under taken to assess the outcome of calcaneal osteotomy.

Materials and Methods: Twenty patients with retrocalcaneal bursitis treated surgically by calcaneal osteotomy from April 2016 to September 2018 were included in this study. In 26 patients resection of bursal projection (Calcaneal osteotomy) was done through medial approach and 14 patients through lateral approach, as the prominent posterosuperior portion of the calcaneus was located more to the lateral side.

Results: Among 40 patients 34(85%) patients had good results, 4 (10%) patients had fair results and 2 (5%) patients had poor result. Poor result was due to inadequate excision of the bursal projection. Four patients had superficial infection.

Conclusion: In this study females were predominantly affected and right side affection was more common. Wearing tight shoe contour is not mandatary to produce retrocalcaneal bursitis. Pre–operative radiological assessment of the superior calcaneal angle varied from 72⁰ to 80⁰. Patients were mobilized on second post operative day with full weight bearing. Pre–operative planning and intra operative examination was necessary in order to remove an adequate amount of bone which was the key for a successful result.