{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:13:32Z","timestamp":1793034812525,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Treatment with ultrasonography (US)- and color Doppler (CD)-guided mini surgery for insertional Achilles tendinopathy has shown good clinical results in a sports medicine setting. The aim in this study was to introduce this new methodology at a county hospital and study the clinical results on a traditional orthopaedic population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-six consecutive patients (12 men, mean age 61\u2009years; 14 women, mean age 56\u2009years) with a long duration (&gt;12\u2009months) of pain symptoms from insertional Achilles tendinopathy (a combination of bursae, bone, and tendon pathology) were included. US- and CD-guided surgical removal of bursae, bone, and tendon pathology, performed with local anaesthesia, was used. After surgery, there was immediate weightbearing loading without immobilization, followed by a structured rehabilitation protocol for 12\u2009weeks. The VISA-A and SEFAS scores plus a questionnaire evaluating satisfaction with treatment and activity level was used for evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At the 1-year follow-up, there were 3 dropouts. Twenty-one patients were satisfied. Their VISA-A score had increased significantly from 26 to 81 ( P\u2009&lt;\u2009.001), and the SEFAS score from 17 to 38 ( P\u2009&lt;\u2009.001). Two patients were not satisfied. There were 3 complications, 2 superficial skin infections, and 1 wound rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For patients with chronic painful insertional Achilles tendinopathy, the US- and CD-guided surgical treatment method followed by immediate weightbearing loading showed a high satisfaction rate and improved functional scores at the 1-year follow-up in a majority of the patients. There are advantages using this method compared to other more tendon invasive surgical methods in use for this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114231165014","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T06:48:18Z","timestamp":1680245298000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Ultrasonography- and Doppler-Guided Surgical Treatment for Insertional Achilles Tendinopathy: Results From a Case Series in a Southern Sweden County Hospital"],"prefix":"10.1177","volume":"8","author":[{"given":"Louise","family":"Lind\u00e9n","sequence":"first","affiliation":[{"name":"H\u00e4ssleholm Hospital, H\u00e4ssleholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Granath","sequence":"additional","affiliation":[{"name":"H\u00e4ssleholm Hospital, H\u00e4ssleholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4r","family":"Hedlund","sequence":"additional","affiliation":[{"name":"H\u00e4ssleholm Hospital, H\u00e4ssleholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9977-334X","authenticated-orcid":false,"given":"Christoph","family":"Spang","sequence":"additional","affiliation":[{"name":"Department of Integrative Medical Biology, Anatomy Section, Ume\u00e5 University, Ume\u00e5, Sweden"},{"name":"Private Orthopaedic Spine Center, W\u00fcrzburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e5kan","family":"Alfredson","sequence":"additional","affiliation":[{"name":"Department of Community Research and Rehabilitation, Sports Medicine Unit, Ume\u00e5 University, Ume\u00e5, Sweden"},{"name":"Alfredson Tendon Clinic, Ortho Center Sk\u00e5ne, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"bibr1-24730114231165014","doi-asserted-by":"publisher","DOI":"10.4236\/ojo.2014.41002"},{"key":"bibr2-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2020-000979"},{"key":"bibr3-24730114231165014","first-page":"263","volume":"32","author":"Andersson G","year":"2017","journal-title":"Histol Histopathol"},{"key":"bibr4-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.03.002"},{"key":"bibr5-24730114231165014","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2008-0542"},{"key":"bibr6-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281810"},{"key":"bibr7-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.039545"},{"key":"bibr8-24730114231165014","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0487"},{"key":"bibr9-24730114231165014","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0689"},{"key":"bibr10-24730114231165014","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0671"},{"key":"bibr11-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.08.004"},{"key":"bibr12-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503258923"},{"key":"bibr13-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-12854"},{"key":"bibr14-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300104"},{"key":"bibr15-24730114231165014","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199812000-00012"},{"key":"bibr16-24730114231165014","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0850"},{"key":"bibr17-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B10.37939"},{"key":"bibr18-24730114231165014","first-page":"131","volume":"30","author":"Traina F","year":"2016","journal-title":"J Biol Regul Homeost Agents"},{"key":"bibr19-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1374-z"},{"key":"bibr20-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2011.04.007"},{"key":"bibr21-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2219-8"},{"key":"bibr22-24730114231165014","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300030301"}],"container-title":["Foot &amp; 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