{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:48:24Z","timestamp":1793832504180,"version":"4.6.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T00:00:00Z","timestamp":1623369600000},"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":["Foot Ankle Int."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Percutaneous procedures have been used recently to treat insertional Achilles tendon problems. The present study reports our results of this treatment approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients undergoing percutaneous calcaneoplasty for insertional Achilles tendon problems were retrieved. Patients completed the visual analog scale (VAS) for pain and the Victorian Institute of Sports Assessment\u2013Achilles (VISA-A) questionnaire before the operative procedure and at the last follow-up. At the last follow-up, we asked the patients whether they were completely satisfied, moderately satisfied, or unsatisfied after the procedure. Complications were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 27 patients were enrolled. The average follow-up was 26.5 months (range 6-68). The mean age of patients was 56.2 years (24-82). The mean VAS score before surgery was 8.1 \u00b1 0.9 decreasing by the last follow-up to 2.4 \u00b1 2.3 ( P &lt; .0001). The mean VISA-A score improved from 20.7 \u00b1 5.4 to 75.7 \u00b1 25.5 at last follow-up, an improvement of 55% ( P &lt; .0001). At the last follow-up, 84.5% (22 of 27) patients were completely satisfied with the procedure, 7.4% (2 of 27) moderately satisfied, and 11.1% (3 of 27) were not satisfied. These last 3 patients presented recurrence of symptoms, requiring revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For the selected patients, we found percutaneous calcaneoplasty to be an effective treatment for insertional Achilles tendon problems<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007211004963","type":"journal-article","created":{"date-parts":[[2021,6,12]],"date-time":"2021-06-12T02:49:25Z","timestamp":1623466165000},"page":"1287-1293","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes of Percutaneous Calcaneoplasty for Insertional Achilles Tendon Problems"],"prefix":"10.1177","volume":"42","author":[{"given":"Stefano","family":"Ferranti","sequence":"first","affiliation":[{"name":"Orthopaedics and Traumatology, PBS Group, Perugia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Migliorini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, RWTH University Hospital Aachen, Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico Maria","family":"Liuni","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Corzani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Perugia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfio","family":"Azzar\u00e0","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, PBS Group, Perugia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavio","family":"Polliano","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, PBS Group, Perugia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abusaa Saher Sami","family":"Tawfiq","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, PBS Group, Perugia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-3702","authenticated-orcid":false,"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi (SA), Italy"},{"name":"Centre for Sports and Exercise Medicine, Mile End Hospital, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom"},{"name":"School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Thornburrow Drive, Stoke on Trent, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,11]]},"reference":[{"key":"bibr1-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0281-9"},{"key":"bibr2-10711007211004963","unstructured":"ASTM F2706-18. Standard Test Methods for Occipital-Cervical and Occipital-Cervical-Thoracic Spinal Implant Constructs in a Vertebrectomy Model, ASTM International, West Conshohocken, PA, 2018. www.astm.org. Accessed October, 2020."},{"key":"bibr3-10711007211004963","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20200428-01"},{"key":"bibr4-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1007\/s40477-020-00479-2"},{"key":"bibr5-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1177\/036354658000800415"},{"key":"bibr6-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2011.07.006"},{"key":"bibr7-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18003212812"},{"key":"bibr8-10711007211004963","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.10.015"},{"key":"bibr9-10711007211004963","unstructured":"Garellick G KJ, Rogmark C, Rolfson O, Herberts P. Swedish Hip Arthroplasty Register. 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