{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T19:36:26Z","timestamp":1779219386705,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T00:00:00Z","timestamp":1510617600000},"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 &amp; Ankle Specialist"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Insertional Achilles tendinopathy (IAT) is a frequent cause of posterior heel pain and is often associated with Haglund\u2019s deformity. Surgical correction for refractory cases of IAT has been well studied; however, the method of tendon fixation to bone in these procedures remains controversial, and to date, no standard technique has been identified for tendon fixation in these surgeries. Often, after Haglund\u2019s resection, there is large exposed cancellous surface for Achilles reattachment, which may require unique fixation to optimize outcomes. Previous studies have consistently demonstrated improved patient outcomes after Achilles tendon reconstruction with early rehabilitation with protected weight bearing, evidencing the need for a strong and stable anchoring of the Achilles tendon that allows early weight bearing without tendon morbidity. In this report, we highlight the design, biomechanics, and surgical technique of Achilles tendon reconstruction with Haglund\u2019s deformity using a novel technique that utilizes ultrasonic energy to liquefy the suture anchor, allowing it to incorporate into surrounding bone. Biomechanical studies have demonstrated superior strength of the suture anchor utilizing this novel technique as compared with prior techniques. However, future research is needed to ensure that outcomes of this technique are favorable when compared with outcomes using traditional suture anchoring methods.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level V: Operative technique<\/jats:p>","DOI":"10.1177\/1938640017740676","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T08:16:41Z","timestamp":1510647401000},"page":"162-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Liquifying PLDLLA Anchor Fixation in Achilles Reconstruction for Insertional Tendinopathy"],"prefix":"10.1177","volume":"11","author":[{"given":"Stephanie A.","family":"Boden","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Emory University School of Medicine (SAB, ALB, JTB), Atlanta, Georgia"},{"name":"Emory Orthopaedics and Spine Center (DM), Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison L.","family":"Boden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Emory University School of Medicine (SAB, ALB, JTB), Atlanta, Georgia"},{"name":"Emory Orthopaedics and Spine Center (DM), Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Mignemi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Emory University School of Medicine (SAB, ALB, JTB), Atlanta, Georgia"},{"name":"Emory Orthopaedics and Spine Center (DM), Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason T.","family":"Bariteau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Emory University School of Medicine (SAB, ALB, JTB), Atlanta, Georgia"},{"name":"Emory Orthopaedics and Spine Center (DM), Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,14]]},"reference":[{"key":"bibr1-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500213"},{"key":"bibr2-1938640017740676","first-page":"91","volume":"2","author":"Oshri Y","year":"2012","journal-title":"Muscles Ligaments Tendons J"},{"key":"bibr3-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.12.009"},{"key":"bibr4-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-017-9386-7"},{"key":"bibr5-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400203"},{"key":"bibr6-1938640017740676","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2008-0542"},{"key":"bibr7-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.03.004"},{"key":"bibr8-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715609921"},{"key":"bibr9-1938640017740676","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0689"},{"key":"bibr10-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.06.020"},{"key":"bibr11-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700904"},{"key":"bibr12-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2219-8"},{"key":"bibr13-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.03.006"},{"issue":"4","key":"bibr14-1938640017740676","first-page":"131","volume":"30","author":"Traina F","year":"2016","journal-title":"J Biol Regul Homeost Agents"},{"key":"bibr15-1938640017740676","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0850"},{"key":"bibr16-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.11.004"},{"key":"bibr17-1938640017740676","doi-asserted-by":"crossref","first-page":"3860","DOI":"10.3760\/cma.j.issn.0366-6999.20131606","volume":"126","author":"Lin Y","year":"2013","journal-title":"Chin Med J (Engl)"},{"key":"bibr18-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402501108"},{"key":"bibr19-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.04.050"},{"key":"bibr20-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094935"},{"key":"bibr21-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260060901"},{"key":"bibr22-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2003.50015"},{"key":"bibr23-1938640017740676","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000185033.32220.57"},{"key":"bibr24-1938640017740676","first-page":"1","volume":"2016","author":"Wehner T","journal-title":"Stryker Trauma Extrem"},{"key":"bibr25-1938640017740676","unstructured":"Stryker. 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