{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:15:03Z","timestamp":1777929303910,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Insertional Achilles tendinopathy (IAT) is a degenerative disorder characterized by pain and functional limitation at the tendon\u2019s calcaneal insertion. Surgical intervention is indicated when nonoperative management fails. This study aimed to compare clinical outcomes of calcaneal osteotomy with and without Achilles tendon reinsertion in patients with IAT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this double-blind randomized clinical trial, 42 patients (mean age: 52.25 \u00b1 6.72\u00a0years; 69.0% male) with IAT were allocated equally to osteotomy with reinsertion (n = 21) or without reinsertion (n = 21). Functional status and pain were assessed preoperatively and at 3, 6, and 9\u00a0months postoperatively using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle\u2013hindfoot scale and the Visual Analogue Scale (VAS) for pain at rest and during activity. Complication rates were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the reinsertion group, mean AOFAS scores improved from 51.00 \u00b1 14.81 preoperatively to 66.33 \u00b1 12.59 (3\u00a0months), 68.81 \u00b1 20.54 (6\u00a0months), and 68.81 \u00b1 20.54 (9\u00a0months). In the non-reinsertion group, scores improved from 55.10 \u00b1 12.84 to 63.67 \u00b1 14.22, 70.38 \u00b1 13.14, and 70.38 \u00b1 13.14, respectively. VAS scores for pain during activity and rest decreased progressively in both groups, approaching near-zero levels by 9\u00a0months. No statistically significant between-group differences were observed for AOFAS or VAS improvements (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.05). Complication rates were low and comparable between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both surgical techniques provided significant and sustained pain reduction and functional improvement over 9\u00a0months. Achilles tendon reinsertion did not confer measurable short-term advantages when a substantial portion of the native insertion was preserved, although potential long-term biomechanical benefits needs further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251391500","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T17:50:49Z","timestamp":1763401849000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative outcomes of calcaneal osteotomy with and without Achilles tendon reinsertion in insertional Achilles tendinopathy: A randomized controlled trial"],"prefix":"10.1177","volume":"33","author":[{"given":"Aliasghar","family":"Alamian","sequence":"first","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8298-8029","authenticated-orcid":false,"given":"Ali","family":"Motevallizadeh","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Bisadi","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Qoreishy","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2020.151461"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717723127"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2017-000144"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2022.02.018"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2017-000164"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-099991"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00679"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231168625"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.04.005"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400231162411"},{"issue":"4","key":"e_1_3_6_12_2","first-page":"131","article-title":"Surgical treatment of insertional Achilles tendinopathy: a systematic review","volume":"30","author":"Traina F","year":"2016","unstructured":"Traina F, Perna F, Ruffilli A, et al. Surgical treatment of insertional Achilles tendinopathy: a systematic review. J Biol Regul Homeost Agents 2016; 30(4 Suppl 1): 131\u2013138.","journal-title":"J Biol Regul Homeost Agents"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2023.09.010"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2024-109138"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2016.10.007"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2021.01.011"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.04.001"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251391500","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536251391500","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251391500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:32:32Z","timestamp":1777678352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536251391500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/10225536251391500"],"URL":"https:\/\/doi.org\/10.1177\/10225536251391500","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"10225536251391500"}}