{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T06:02:19Z","timestamp":1780380139298,"version":"3.54.1"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,9,6]],"date-time":"2014-09-06T00:00:00Z","timestamp":1409961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,9,6]],"date-time":"2014-09-06T00:00:00Z","timestamp":1409961600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The study aimed to compare two methods of open surgical treatment for midportion Achilles tendinopathy in sportsmen. A novel technique consisting in transferring some soleus fibres into the degenerated tendon to improve its vascularization and longitudinal tenotomies are evaluated and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2006 to 2011, fifty\u2010two competitive and noncompetitive athletes affected by midportion Achilles tendinopathy were surgically treated and prospectively evaluated at 6\u00a0months and at a final 4\u2010year mean follow\u2010up. Twenty patients had longitudinal tenotomies, and thirty\u2010two had soleus fibres transfer. Clinical outcome was evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Victorian Institute of Sports Assessment\u2010Achilles (VISA\u2010A) score. Time to return to walk and to run and tendon thickening were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in the soleus transfer group had a higher increase in AOFAS and VISA\u2010A score at 6\u00a0months and at the mean 4\u2010year final follow\u2010up (by 5.4 points, 95 % CI 2.9\u20137.9, <jats:italic>p<\/jats:italic> &lt; 0.001 and by 5.7 points, 95 % CI 2.5\u20138.9, <jats:italic>p<\/jats:italic> = 0.001, for AOFAS and VISA, respectively). They also needed less time to return to run: 98.9 \u00b1 17.4\u00a0days compared to 122.2 \u00b1 26.3\u00a0days for the longitudinal tenotomies group (<jats:italic>p<\/jats:italic> = 0.0019). The soleus transfer group had a greater prevalence of tendon thickening (59.4 % compared to 30.0 % in the longitudinal tenotomies group, <jats:italic>p<\/jats:italic> = 0.037).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Open surgery for midportion Achilles tendinopathy is safe and effective in medium term. Despite similar outcomes in postoperative functional scores, soleus transfer allows a faster recovery but has a higher incidence of tendon thickening. These results should suggest the use of the soleus graft technique in high\u2010level athletes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prospective comparative study, Level II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-3232-x","type":"journal-article","created":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T05:52:03Z","timestamp":1409896323000},"page":"1868-1876","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Open surgical treatment for chronic midportion Achilles tendinopathy: faster recovery with the soleus fibres transfer technique"],"prefix":"10.1002","volume":"24","author":[{"given":"Francesco","family":"Benazzo","sequence":"first","affiliation":[{"name":"Clinica Ortopedica e Traumatologica IRCCS Fondazione Policlinico S. 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