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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
Published on: October 27, 2023
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Recurrence rates for surgically treated insertional Achilles tendinopathy
Hubert Hörterer1,2, Sonja Oppelt2, Norbert Harrasser3
1Center for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.
Archives of Orthopaedic and Trauma Surgery
|December 12, 2023
Summary
Insertional Achilles tendinopathy (IAT) recurrence after initial surgery affects up to 14% of patients. This study found no predictive factors for IAT recurrence following primary surgical intervention.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Disorders
Background:
- Insertional Achilles tendinopathy (IAT) presents a significant surgical challenge.
- Limited data exists regarding the recurrence rate of IAT after primary surgical intervention.
- Understanding recurrence is crucial for managing patient outcomes.
Purpose of the Study:
- To determine the recurrence rate of IAT following primary surgical treatment.
- To identify potential factors associated with IAT recurrence.
Main Methods:
- Retrospective analysis of a previously published cohort of patients undergoing primary IAT surgery.
- Inclusion criteria: patients with one-year and final follow-up using the Foot and Function Index (FFI).
- Recurrence defined as FFI score worsening >6.5 points between one-year and final follow-up.
Main Results:
- Out of 58 patients (average age 51 years), 8 patients (14%) experienced IAT recurrence.
- Recurrence occurred at an average of 50 months post-surgery.
- No demographic, surgical, or patient-reported outcome factors predicted recurrence.
Conclusions:
- Insertional Achilles tendinopathy recurrence after primary surgery is observed in up to 14% of cases.
- Current predictive factors for recurrence remain elusive.
- Further research may be needed to understand and mitigate IAT recurrence.
