{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:13:23Z","timestamp":1783509203297,"version":"3.55.0"},"reference-count":60,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"\n \n Background:<\/jats:title>\n We sought to compare clinical efficacy among endoscopy-assisted radio-frequency ablation under local anesthesia, extracorporeal shockwaves (ESWs), and eccentric exercises in treating insertional Achilles tendinosis.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n In this retrospective study, 78 patients diagnosed as having unilateral insertional Achilles tendinosis were enrolled. These participants underwent endoscopy-assisted radio-frequency ablation, ESWs, and eccentric calf muscle exercises between March 1, 2006, and February 28, 2011. Clinical efficacy was evaluated by the visual analog scale (VAS), the American Orthopaedic Foot and Ankle Society (AOFAS) ankle\/hindfoot scale, and the Victorian Institute of Sport Assessment\u2013Achilles (VISA-A) scale before and after treatment.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Before treatment, there were no statistically significant differences in VAS, AOFAS ankle\/hindfoot scale, and VISA-A scale scores among the different groups (all P > .05). For the endoscopy and ESW groups, VAS, AOFAS ankle\/hindfoot scale, and VISA-A scale scores were significantly improved after 18 months of treatment (all P < .05). The VAS, AOFAS ankle\/hindfoot scale, and VISA-A scale scores in the endoscopy group were significantly higher than those in the ESW and eccentric exercise groups after 18 months of therapy (all P < .05).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Combined with synovectomy and tendon debridement, endoscopy-assisted radio-frequency ablation yields better clinical efficacy compared with ESWs in treating insertional Achilles tendinosis.<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/14-146","type":"journal-article","created":{"date-parts":[[2016,10,10]],"date-time":"2016-10-10T11:34:11Z","timestamp":1476099251000},"page":"11-16","source":"Crossref","is-referenced-by-count":19,"title":["Comparison of Clinical Efficacy Among Endoscopy-Assisted Radio-Frequency Ablation, Extracorporeal Shockwaves, and Eccentric Exercises in Treatment of Insertional Achilles Tendinosis"],"prefix":"10.3390","volume":"107","author":[{"given":"Min","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongli","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Chinese PLA General Hospital, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"ref401","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1177\/03635465980260030301","article-title":"Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis","volume":"26","author":"Alfredson","year":"1998","journal-title":"Am J Sports Med"},{"key":"ref201","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1053\/j.jfas.2011.01.003","article-title":"Extra-corporeal pulsed-activated therapy (\u201cEPAT\u201d Sound Wave) for Achilles tendinopathy: a prospective study","volume":"50","author":"Saxena","year":"2011","journal-title":"J Foot Ankle Surg"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1136\/bjsm.2010.082750","article-title":"Substance P accelerates hypercellularity and angiogenesis in tendon tissue and enhances paratendinitis in response to Achilles tendon overuse in a tendinopathy 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trial","volume":"37","author":"Rompe","year":"2009","journal-title":"Am J Sports Med"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1002\/bit.24809","article-title":"Programmable mechanical stimulation influences tendon homeostasis in a bioreactor system","volume":"110","author":"Wang","year":"2013","journal-title":"Biotechnol Bioeng"},{"key":"ref221","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1177\/0363546508326983","article-title":"Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial","volume":"37","author":"Rompe","year":"2009","journal-title":"Am J Sports Med"},{"key":"ref541","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1177\/107110070602700404","article-title":"Surgical management of insertional calcific Achilles tendinosis with a central tendon splitting approach","volume":"27","author":"Johnson","year":"2006","journal-title":"Foot Ankle Int"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"404","DOI":"10.3109\/17453679808999056","article-title":"Partial rupture in Achilles tendinopathy: a retrospective analysis of 342 cases","volume":"69","author":"Astrom","year":"1998","journal-title":"Acta Orthop Scand"},{"key":"ref361","doi-asserted-by":"crossref","first-page":"487","DOI":"10.3113\/FAI.2012.0487","article-title":"Insertional Achilles tendinitis and Haglund's deformity","volume":"33","author":"Kang","year":"2012","journal-title":"Foot Ankle Int"},{"key":"ref561","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1177\/03635465000280012501","article-title":"Chronic Achilles tendon overuse injury: complications after surgical treatment: an analysis of 432 consecutive patients","volume":"28","author":"Paavola","year":"2000","journal-title":"Am J Sports Med"},{"key":"ref591","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1177\/0363546507304175","article-title":"Nerve regeneration after 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collagenase-induced Achilles tendinitis animal model","volume":"27","author":"Yoo","year":"2012","journal-title":"Lasers Med Sci"},{"key":"ref351","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1136\/bjsm.2010.082750","article-title":"Substance P accelerates hypercellularity and angiogenesis in tendon tissue and enhances paratendinitis in response to Achilles tendon overuse in a tendinopathy model","volume":"45","author":"Andersson","year":"2011","journal-title":"Br J Sports Med"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"398","DOI":"10.3928\/01477447-20100429-06","article-title":"The influence of atorvastatin on tendon healing: an experimental study on rabbits","volume":"33","author":"Esenkaya","year":"2010","journal-title":"Orthopedics"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"487","DOI":"10.3113\/FAI.2012.0487","article-title":"Insertional Achilles tendinitis and Haglund's 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