{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:24:21Z","timestamp":1787214261725,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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 Orthopaedics"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Insertional Achilles tendinopathy (IAT) is a common yet challenging condition that often resists conservative treatment. Traditional open surgical repair carries risk of complications including delayed wound healing and infection. This study compares the outcomes of a minimally invasive surgical (MIS) technique using arthroscopic-assisted double-row repair vs open repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Fifty-six patients with IAT underwent surgical intervention between June 2021 and September 2024 (32 MIS, 24 open). Patient-reported outcomes (PROs) were assessed pre- and post-operatively with a minimum 1-year follow-up. Six patients were excluded from analysis for comparability between groups. Statistical analysis used 2-tailed\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      tests with a Bonferroni adjustment (\u03b1\u2009=\u20090.05\/3\u2009=\u20090.0167). The proportion of each cohort reaching the minimal clinically important difference (MCID) was compared via \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      analysis, and complications were correlated to body mass index (BMI) and age using logistic regression analyses. Sensitivity analyses using multiple linear regressions, adjusted for follow-up time, were performed on the full cohort (\u03b1\u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The MIS group had significantly worse preoperative scores compared with the open group. But at a mean follow-up of 2.2\u2009years for the MIS group and 2.0\u2009years for the open group, the MIS group demonstrated significantly greater improvements in Patient-Reported Outcomes Measurement Information System physical function and visual analog scale scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001 for both) and a significantly greater proportion of patients at MCID (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05 for both). Foot and Ankle Ability Measure activities of daily living subscale showed similar findings without significance detected. All PROs retained significance on sensitivity analysis. Complication rates were 0% in the MIS group and 5.0% in the open group with no correlation to BMI or age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite limitations necessitating further studies, our results begin to suggest superior functional outcomes following MIS repair for IAT compared to traditional open repair, supporting MIS as a potentially safer and more effective alternative for appropriate patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261466664","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:29:51Z","timestamp":1787034591000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Results of Achilles Insertional Repair Techniques: Minimally Invasive Compared to Open Repair"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8668-8680","authenticated-orcid":false,"given":"Jorge I.","family":"Acevedo","sequence":"first","affiliation":[{"name":"Southeast Orthopedic Specialists, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0410-2039","authenticated-orcid":false,"given":"Sofia","family":"Rivera","sequence":"additional","affiliation":[{"name":"Southeast Orthopedic Specialists, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2473-3570","authenticated-orcid":false,"given":"Kelsey A.","family":"Crawford","sequence":"additional","affiliation":[{"name":"Southeast Orthopedic Specialists, Jacksonville, FL, USA"},{"name":"Marshall University Joan C. Edwards School of Medicine, Huntington, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4566-3846","authenticated-orcid":false,"given":"Lauren","family":"Barnes","sequence":"additional","affiliation":[{"name":"Peachtree Orthopedics, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0495-7921","authenticated-orcid":false,"given":"David E.","family":"Jaffe","sequence":"additional","affiliation":[{"name":"OrthoArizona \u2013 Arizona Bone and Joint Specialists, Scottsdale, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8692-3449","authenticated-orcid":false,"given":"John","family":"Chao","sequence":"additional","affiliation":[{"name":"Peachtree Orthopedics, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0887-7424","authenticated-orcid":false,"given":"Dominic S.","family":"Carreira","sequence":"additional","affiliation":[{"name":"Peachtree Orthopedics, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717723127"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007241237529"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2014.10.004"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.004"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2024.11.009"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3113\/fai.2007.0472"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300104"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.11.004"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v94i2.13834"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3113\/fai.2011.0850"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.03.006"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720943836"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000707"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000035349"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3113\/fai.2007.0149"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290021101"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.4.5.581"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211004963"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/19386400211002707"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1997.tb00120.x"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007241227948"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-014-0144-x"}],"container-title":["Foot &amp; Ankle Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261466664","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24730114261466664","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114261466664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T07:49:03Z","timestamp":1787212143000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24730114261466664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/24730114261466664"],"URL":"https:\/\/doi.org\/10.1177\/24730114261466664","relation":{},"ISSN":["2473-0114","2473-0114"],"issn-type":[{"value":"2473-0114","type":"print"},{"value":"2473-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"24730114261466664"}}