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• W3110367864 abstract "Abstract Introduction: Insertional Achilles tendinopathy (IAT) operative outcomes within the active duty United States military have not been previously reviewed. Materials and Methods: A single center retrospective review of consecutive patients diagnosed with IAT was performed. Surgical patients were followed until they returned to full duty or were released from the military. Outcomes included Visual analog scale (VAS) pain scores, the ability to return to running and time to do so, and the ability to return to military specific duty. All complications were recorded and followed until resolution. Statistical analysis was performed with an independent samples t Test. Results: Our data analysis included 113 active duty military patients. Fifty-eight (55%) patients underwent operative treatment for insertional IAT. Eight patients had bilateral procedures for a total of 66 Achilles procedures evaluated. Mean duration of follow up was 42 months (range, 12-143). Mean age at time of surgery was 37.2 years (range, 21-54). Length of pre-operative physical therapy had a mean of 6.5 months (range, 2-36). Visual analog scores significantly improved at all time points from 5.4 pre-op to 2.7, 2.9, 2.7, 2.9 at 3, 6, 12, and 24 months respectively. There was no significant improvement in VAS scores after the 3-month post-operative visit. Mean return to run time was 9 months (range 4.5-16). At 1 year, 80% (46/58) of patients returned to military duty although 43% of patients that returned to duty had restrictions in regards to running. Complications were recorded in 18 of 66 procedures (27%). The most common complication was superficial wound infection or superficial wound dehiscence. Complications requiring return to the OR were observed in 6 patients (9%). Conclusions : This is the first study to evaluate the outcomes of IAT in an active military population. Active duty patients diagnosed with IAT failed non-operative management and required surgical intervention in 55% of the population studied. For those patients who were treated surgically we documented an 80% return to duty rate and a significant reduction of subjective pain scores from a mean of 5.4 to a mean of 2.6 at final follow-up. There was no significant change in the VAS score after the 3-month post-operative evaluation. Service members were able to return to duty at a mean of 7 months and return to running at a mean of 9 months. The high rate of return to duty and significant improvement in pain scores demonstrate that the surgical management of IAT is a viable treatment option for patients who could not otherwise remain on active duty. With that said, the complication rate of 27% is high. Patients and providers should consider the risks, benefits, and the duration of therapy during their shared decision-making process." @default.
• W3110367864 created "2020-12-07" @default.
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• W3110367864 date "2020-11-18" @default.
• W3110367864 modified "2023-09-25" @default.
• W3110367864 title "Insertional Achilles Tendinopathy: Operative Outcomes in the Military" @default.
• W3110367864 doi "https://doi.org/10.21203/rs.3.rs-105914/v1" @default.
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