{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T14:50:29Z","timestamp":1761490229807,"version":"3.38.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2006,9,1]],"date-time":"2006-09-01T00:00:00Z","timestamp":1157068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:p> Background: The purpose of this study was to assess the long-term results of tendon lengthening surgery for the treatment of chronic Achilles tendon pain. Methods: The results of 21 procedures in 18 patients were assessed. Each patient had an open Z-plasty to lengthen the Achilles tendon by 1 cm. Results: Results showed a long-term (7.5 years) reduction in visual analogue pain scores for sporting activity in 20 of 21 procedures (median 50 point reduction, p &lt; 0.0005). The tendon lengthening was apparent in a mean increase in dorsiflexion of 5 degrees. Two patients had minor gait abnormalities postoperatively. One patient had a reduction in plantarflexion power on the operated side, but five patients had improved power compared to the nonoperated limb. One major and five minor surgical complications were noted. Conclusions: The retrospective nature of this study must be noted in drawing conclusions. However, the results suggest excellent long-term reduction of Achilles pain after tendon lengthening. This must be weighed against a relatively high complication rate for any procedure in this region. This treatment does not appear to cause long-term deficits in plantarflexion power or gait. <\/jats:p>","DOI":"10.1177\/107110070602700903","type":"journal-article","created":{"date-parts":[[2017,3,3]],"date-time":"2017-03-03T16:26:06Z","timestamp":1488558366000},"page":"672-676","source":"Crossref","is-referenced-by-count":24,"title":["The Long-Term Outcome of Tendon Lengthening for Chronic Achilles Tendon Pain"],"prefix":"10.1177","volume":"27","author":[{"given":"Matthew L.","family":"Costa","sequence":"first","affiliation":[{"name":"Warwick Medical School, University Hospitals Coventry, and Warwickshire NHS Trust, Coventry, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon T.","family":"Donell","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Tucker","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,9,1]]},"reference":[{"key":"bibr1-107110070602700903","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200029020-00005"},{"key":"bibr2-107110070602700903","first-page":"631","volume":"63","author":"Astrom M","year":"1992","journal-title":"Acta Orthop. 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