Evidence map›Paper›PMID 39680218›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Outcomes of Revision surgery for surgically treated insertional Achilles tendinopathy.

Hubert Hörterer, Sonia Oppelt, Kathrin Pfahl, Norbert Harrasser, Wolfgang Böcker, Hans Polzer, Markus Walther, Sebastian Felix Baumbach

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Effectiveness of all-arthroscopic gastrocnemius aponeurosis release and Achilles tendon insertion debridement in treatment of Haglund's disease].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hubert HörtererCenter for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.ORCID http://orcid.org/0000-0001-6151-5778
Sonia OppeltDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center, Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Kathrin PfahlCenter for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.
Norbert HarrasserClinic of Orthopaedics, Klinikum Rechts Der Isar, Technical University Munich, Munich, Germany.
Wolfgang BöckerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center, Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Hans PolzerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center, Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Markus WaltherCenter for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.
Sebastian Felix BaumbachDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center, Munich (MUM), University Hospital, LMU Munich, Munich, Germany. Sebastian.Baumbach@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a clear roadmap for the treatment of primary insertional Achilles tendinopathy (IAT), but data on the outcome of revision surgery is missing. The current study aimed to analyze the outcome following revision surgery for surgically failed IAT. MATERIAL AND

methodsIncluded were patients with IAT revision surgery at a single reference center (01/2010-10/2016) and a follow-up of at least 12 months. Revision surgery was performed, whenever possible, through a midline incision transachillary approach (MITA) with debridement of all pathologies present. The patient-rated outcome was assessed per the FFI (preoperative, final follow-up) and VISA-A-G (final follow-up). The aim was to evaluate the patient rated outcome following revision surgery for recurrent IAT.

resultsOut of 24 eligible patients, 19 (79%) were included in the final follow-up. The mean follow-up duration was 4.6 ± 2.2 years. The FFI Overall improved from preoperatively 68 ± 19 to 14 ± 17 points (< 0.001) at the final follow-up. The final VISA-A-G was 71 ± 28 points. 39%/36% (FFI/VISA-A-G) of patients reached patient-rated outcome scores comparable to a healthy reference population. No factors could be identified to influence the outcome significantly.

conclusionIAT revision surgery results in an improvement of the patients' symptoms, but only one-third of the patients recover fully.

Indexed as

Achilles TendonReoperationTendinopathyAdultAgedDebridementFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeHaglund DeformityHaglund SyndromeInsertional achilles tendinopathyRevision surgery

Identifiers

PMID39680218
PMCPMC11649710

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.