{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T22:50:46Z","timestamp":1792363846817,"version":"4.4.0"},"reference-count":17,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Background:<\/jats:bold>\n We sought to determine the wound complications associated with a straight midline incision overlying the Achilles tendon. Data on sex, age, body mass index (BMI), surgery performed, date of surgery, and wound development were collected.\n <\/jats:p>\n \n Methods:<\/jats:bold>\n We retrospectively collected data on 217 patients with a mean \u00b1 SD age of 46.16 \u00b1 13.72 years and follow-up of 9.1 \u00b1 12.42 months. The specific procedures performed with this incision included repair of ruptured Achilles tendon (n = 89), Haglund deformity correction (n = 75), and flexor hallucis longus tendon transfer (n = 63). Wound complication was defined as a delay in wound healing with necrosis of the incisional margins resulting in exposure of superficial or deep layers. Deep infection was defined as the need for intravenous antibiotics.\n <\/jats:p>\n \n Results:<\/jats:bold>\n We reported 15 wound complications (6.91%): ten (4.6%) were superficial and five (2.3%) were deep. All five patients with deep wound complications required operative debridement, and four patients required intravenous antibiotics. The infection rate of the midline incisional approach was 1.83%. Superficial wound complications were treated with local care and oral antibiotics, as necessary. There were no significant differences between age (\n P<\/jats:italic>\n = .5986;\n P<\/jats:italic>\n < .05), BMI (\n P<\/jats:italic>\n = .7968;\n P<\/jats:italic>\n < .05), smoking history (\n P<\/jats:italic>\n = .6356;\n P<\/jats:italic>\n < .05), or length of follow-up (\n P<\/jats:italic>\n = .8338;\n P<\/jats:italic>\n < .05). The overall wound rate of 6.91% is comparable with other literature with larger cohorts.\n <\/jats:p>\n \n Conclusions:<\/jats:bold>\n These results will help us better educate surgeons about the risk of wound development with the posterior midline Achilles tendon incision.\n <\/jats:p>","DOI":"10.7547\/22-123","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T10:11:43Z","timestamp":1737972703000},"source":"Crossref","is-referenced-by-count":2,"title":["Incidence of Wounds Associated with Posterior Midline Incision for Achilles Tendon Pathology in a Large Cohort at a Tertiary Care Center"],"prefix":"10.3390","volume":"114","author":[{"given":"Michael J.","family":"Hurst","sequence":"first","affiliation":[{"name":"Podiatry, Davis Medical Center, Elkins, WV."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah J.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Podiatry, Davis Medical Center, Elkins, WV."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody","family":"Blazek","sequence":"additional","affiliation":[{"name":"Podiatry, Wake Forest University, High Point, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Lerch","sequence":"additional","affiliation":[{"name":"Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick R.","family":"Burns","sequence":"additional","affiliation":[{"name":"Podiatry, University of Pittsburgh Medical Center, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Manway","sequence":"additional","affiliation":[{"name":"Podiatry, University of Pittsburgh Medical Center, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Foot Ankle Int","first-page":"288","article-title":"Operative treatment of the insertional Achilles tendinopathy through a transtendinous approach","volume":"37","author":"Ettinger S","year":"2016","unstructured":"Ettinger S, Razzaq R, Waizy H, et al: Operative treatment of the insertional Achilles tendinopathy through a transtendinous approach. 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J Foot Ankle Surg 54: 273, 2015."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/6\/22-123.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/6\/22-123.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/6\/22-123.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:52Z","timestamp":1783505992000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/6\/22123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":17,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.7547\/22-123","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}