手术治疗的插入性跟腱腱病的复发率。
Recurrence rates for surgically treated insertional Achilles tendinopathy.
机构信息
Center for Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany.
Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
出版信息
Arch Orthop Trauma Surg. 2024 Mar;144(3):1021-1027. doi: 10.1007/s00402-023-05155-8. Epub 2023 Dec 12.
INTRODUCTION
Insertional Achilles tendinopathy (IAT) is a challenge for every orthopedic surgeon. Although surgical intervention is difficult to avoid after frustrating conservative therapy, little is known about recurrence of this disorder. Therefore the aim of the study was to assess the recurrence rate after primary IAT surgery.
MATERIALS AND METHODS
The authors previous published cohort on primary IAT surgery was reanalyzed. Patients with a follow-up Foot and Function Index (FFI) at one year and final follow-up were included. IAT recurrence was defined as a FFI worsening between one year and final follow-up of > 6.5 points. General demographics, surgical details, complications, and the patient reported outcome (PROM) were assessed.
RESULTS
Out of 58 included patients (51 ± 14 years), 8 patients (14%) suffered IAT recurrence after an average of 50 ± 25 months. None of the assessed factors was predictive for an IAT recurrence.
CONCLUSION
IAT recurrence after primary surgery occurs in up to 14% of patients.
LEVEL OF EVIDENCE
IV, retrospective cohort study.
引言
跟腱插入部疾病（IAT）是每一位矫形外科医生面临的挑战。虽然在令人沮丧的保守治疗后，手术干预往往难以避免，但对于这种疾病的复发知之甚少。因此，本研究旨在评估初次 IAT 手术后的复发率。
材料与方法
重新分析了作者之前发表的关于初次 IAT 手术的队列研究。纳入在一年和最终随访时具有足部和功能指数（FFI）随访的患者。IAT 复发的定义为在一年和最终随访之间 FFI 恶化>6.5 分。评估了一般人口统计学、手术细节、并发症和患者报告的结果（PROM）。
结果
在 58 例纳入患者（51±14 岁）中，8 例（14%）患者在平均 50±25 个月后发生 IAT 复发。未评估到任何因素可预测 IAT 复发。
结论
初次手术后 IAT 复发率高达 14%。
证据等级
IV，回顾性队列研究。
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