• Arch Orthop Trauma Surg · Mar 2024

    Recurrence rates for surgically treated insertional Achilles tendinopathy.

    • Hubert Hörterer, Sonja Oppelt, Norbert Harrasser, Oliver Gottschalk, Wolfgang Böcker, Hans Polzer, Markus Walther, and Sebastian Felix Baumbach.
    • Center for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.
    • Arch Orthop Trauma Surg. 2024 Mar 1; 144 (3): 102110271021-1027.

    IntroductionInsertional 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 MethodsThe 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.ResultsOut 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.ConclusionIAT recurrence after primary surgery occurs in up to 14% of patients.Level Of EvidenceIV, retrospective cohort study.© 2023. The Author(s).

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