{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:50:41Z","timestamp":1787737841640,"version":"build-2784847793"},"reference-count":10,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"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":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of this study was to assess the patient-reported outcome measures (PROMs) in patients with insertional Achilles tendinopathy (IAT) treated surgically by debridement of all pathologies through a midline-incision trans-achillary approach (MITA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a retrospective cohort study with current follow-up. Patients treated surgically by a MITA, addressing all pathologies of IAT, with at least 12 months of follow-up were included. Demographics, medical history, surgical details, and complications were recorded. Patient-reported outcomes were assessed using the Foot Function Index (FFI), Victorian Institute of Sport Assessment\u2013Achilles questionnaire (VISA-A-G), visual analog scale foot and ankle (VAS-FA), and 12-Item Short-Form Health Survey (SF-12). Longitudinal FFI data were available for 48% of the patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 118 patients (63.4%) with a mean follow-up of 50 \u00b1 25 months were included. The FFI improved from 53 (24) preoperatively to 2 (11) points at the final follow-up. The final VISA-A-G score was 93 (26), the VAS-FA score 93 (15), the SF-12 Physical Component Summary 56 (8), and the SF-12 Mental Component Summary 55 (12) points. There was an additional FFI improvement between 12 months and the final follow-up. Up to 47% (VISA-A-G) of patients had residual symptoms. A postoperative shoe conflict was the only parameter negatively affecting the PROMs ( P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Addressing all pathologies of IAT by the MITA resulted in overall good postoperative PROMs after 4 years. But up to 47% of patients remained impaired. The only parameter correlating with an impaired PROM was a postoperative shoe conflict.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007211023060","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T03:31:55Z","timestamp":1624332715000},"page":"1565-1569","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Patient-Reported Outcomes of Surgically Treated Insertional Achilles Tendinopathy"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6151-5778","authenticated-orcid":false,"given":"Hubert","family":"H\u00f6rterer","sequence":"first","affiliation":[{"name":"Center for Foot and Ankle Surgery, Sch\u00f6n Klinik M\u00fcnchen Harlaching, Munich, Bavaria, Germany"},{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja","family":"Oppelt","sequence":"additional","affiliation":[{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6512-6275","authenticated-orcid":false,"given":"Oliver","family":"Gottschalk","sequence":"additional","affiliation":[{"name":"Center for Foot and Ankle Surgery, Sch\u00f6n Klinik M\u00fcnchen Harlaching, Munich, Bavaria, Germany"},{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0974-1019","authenticated-orcid":false,"given":"Norbert","family":"Harrasser","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Sports Orthopedics, Technical University Munich, Klinikum rechts der Isar, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Walther","sequence":"additional","affiliation":[{"name":"Center for Foot and Ankle Surgery, Sch\u00f6n Klinik M\u00fcnchen Harlaching, Munich, Bavaria, Germany"},{"name":"Department of Orthopedics and Orthopedic Surgery, Julius-Maximilians-University, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6713-4017","authenticated-orcid":false,"given":"Hans","family":"Polzer","sequence":"additional","affiliation":[{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6287-6206","authenticated-orcid":false,"given":"Sebastian Felix","family":"Baumbach","sequence":"additional","affiliation":[{"name":"Department of General, Trauma, and Reconstructive Surgery, University Hospital Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,22]]},"reference":[{"key":"bibr1-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03897-x"},{"key":"bibr2-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04761-0"},{"key":"bibr3-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715609921"},{"key":"bibr4-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.05.003"},{"key":"bibr5-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720943836"},{"key":"bibr6-10711007211023060","first-page":"274","volume":"5","author":"Jerosch J","year":"2017","journal-title":"online-oupde"},{"key":"bibr7-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B11.27379"},{"key":"bibr8-10711007211023060","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0850"},{"key":"bibr9-10711007211023060","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.19.00035"},{"key":"bibr10-10711007211023060","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717750888"}],"container-title":["Foot &amp; 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