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Archives of Orthopaedic and Trauma Surgery

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Open Access 12-12-2023 | Achilles Tendinopathy | Orthopaedic Surgery

Recurrence rates for surgically treated insertional Achilles tendinopathy

Authors: Hubert Hörterer, Sonja Oppelt, Norbert Harrasser, Oliver Gottschalk, Wolfgang Böcker, Hans Polzer, Markus Walther, Sebastian Felix Baumbach

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2024

Abstract

Introduction

Insertional Achilles tendinopathy (IAT) is a challenge for every orthopedic surgeon. Although surgical intervention is difficult to avoid after frustrating conservative therapy, little is known about recurrence of this disorder. Therefore the aim of the study was to assess the recurrence rate after primary IAT surgery.

Materials and methods

The authors previous published cohort on primary IAT surgery was reanalyzed. Patients with a follow-up Foot and Function Index (FFI) at one year and final follow-up were included. IAT recurrence was defined as a FFI worsening between one year and final follow-up of > 6.5 points. General demographics, surgical details, complications, and the patient reported outcome (PROM) were assessed.

Results

Out of 58 included patients (51 ± 14 years), 8 patients (14%) suffered IAT recurrence after an average of 50 ± 25 months. None of the assessed factors was predictive for an IAT recurrence.

Conclusion

IAT recurrence after primary surgery occurs in up to 14% of patients.

Level of evidence

IV, retrospective cohort study.

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Title: Recurrence rates for surgically treated insertional Achilles tendinopathy
Authors: Hubert Hörterer
Sonja Oppelt
Norbert Harrasser
Oliver Gottschalk
Wolfgang Böcker
Hans Polzer
Markus Walther
Sebastian Felix Baumbach
Publication date: 12-12-2023
Publisher: Springer Berlin Heidelberg
Keyword: Achilles Tendinopathy
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 3/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-023-05155-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Recurrence rates for surgically treated insertional Achilles tendinopathy

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

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