A Comparison of Two Different High-Volume Image-Guided Injection Procedures for Patients With Chronic Noninsertional Achilles Tendinopathy: A Pragmatic Retrospective Cohort Study

Background: The midline-incision trans-achillary approach (MITA) is frequently used for addressing all pathologies of insertional Achilles tendinopathy (IAT). The aim of this study was to assess the complication rate and possible influencing factors following a MITA for IAT treatment. Methods: Presented is a retrospective cohort study with current follow-up. Patients treated surgically by a MITA, addressing all pathologies of IAT, between January 2010 and October 2016 at a single reference center with at least 12 months of follow-up were included. General demographics (age, sex, and body mass index), medical history, surgical details (individual and sum of pathologies addressed), and duration of in-hospital stay were assessed. Patient satisfaction, shoe conflict, current employment status, time to return to sports, and type of sports were recorded using a custom questionnaire. Standard statistics, chi-square, and t tests were performed using SPSS. A total of 118 patients (follow-up, 63.4%) with a mean age (± SD) of 50 ± 12 years and a mean final follow-up time (± SD) of 4.2 ± 2.1 were included. Results: Fourteen percent of patients had a minor complication, the majority (75%) of which were surgical site infections. Forty-one percent were limited in their shoe selection, and 32% reported a shoe conflict. Seventy-eight percent were very satisfied, and 89% would recommend the surgery. Neither the individual surgical procedures, their sum, nor any other parameter showed a significant influence on the complication rate. The only factor negatively affecting patient satisfaction was a shoe conflict ( P < .001). Conclusion: The MITA for IAT treatment showed a moderate minor complication rate with good midterm patient satisfaction. However, the approach might predispose patients to shoe conflict, which negatively influences their satisfaction. Level of Evidence: Level IV, retrospective cohort study.

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Clinical utility of image-guided biopsy in diagnosis and management of vertebral osteomyelitis: A retrospective cohort study

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2016.12.1148 ◽

2017 ◽

Vol 28 (2) ◽

pp. S222-S223

Author(s):

E Keshishian ◽

H Ajrawat ◽

K Massis ◽

C Davis ◽

G Hoots ◽

...

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Clinical Utility ◽

Vertebral Osteomyelitis ◽

Diagnosis And Management ◽

Image Guided ◽

Guided Biopsy

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Opioid Use Does Not Impact Treatment Response Among Achalasia and Esophagogastric Junction Outflow Obstruction (EGJOO) Patients: A Retrospective Cohort Study From a High Volume Tertiary Referral Center

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-00326 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S181-S182

Author(s):

John Jacobs ◽

Wojciech Blonski ◽

Ambuj Kumar ◽

Joel E. Richter

Keyword(s):

Cohort Study ◽

Treatment Response ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Esophagogastric Junction ◽

High Volume ◽

Opioid Use ◽

Tertiary Referral ◽

Outflow Obstruction ◽

Tertiary Referral Center

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Laparoscopic Duodenal Switch Versus Roux-en-Y Gastric Bypass at a High-Volume Community Hospital: a Retrospective Cohort Study from a Rural Setting

Obesity Surgery ◽

10.1007/s11695-020-05026-w ◽

2020 ◽

Author(s):

Rodolfo J. Oviedo ◽

Tapan Nayak ◽

Yang Liu ◽

Shixue Zhang ◽

Fengyu Zhao

Keyword(s):

Gastric Bypass ◽

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Duodenal Switch ◽

Community Hospital ◽

High Volume ◽

Rural Setting

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Patient-Reported Outcomes of Surgically Treated Insertional Achilles Tendinopathy

Foot & Ankle International ◽

10.1177/10711007211023060 ◽

2021 ◽

pp. 107110072110230

Author(s):

Hubert Hörterer ◽

Sonja Oppelt ◽

Wolfgang Böcker ◽

Oliver Gottschalk ◽

Norbert Harrasser ◽

...

Keyword(s):

Cohort Study ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Patient Reported Outcomes ◽

Short Form ◽

Achilles Tendinopathy ◽

Level Of Evidence ◽

Patient Reported ◽

Insertional Achilles Tendinopathy

Background: The aim of this study was to assess the patient-reported outcome measures (PROMs) in patients with insertional Achilles tendinopathy (IAT) treated surgically by debridement of all pathologies through a midline-incision trans-achillary approach (MITA). Methods: This is a retrospective cohort study with current follow-up. Patients treated surgically by a MITA, addressing all pathologies of IAT, with at least 12 months of follow-up were included. Demographics, medical history, surgical details, and complications were recorded. Patient-reported outcomes were assessed using the Foot Function Index (FFI), Victorian Institute of Sport Assessment–Achilles questionnaire (VISA-A-G), visual analog scale foot and ankle (VAS-FA), and 12-Item Short-Form Health Survey (SF-12). Longitudinal FFI data were available for 48% of the patients. Results: A total of 118 patients (63.4%) with a mean follow-up of 50 ± 25 months were included. The FFI improved from 53 (24) preoperatively to 2 (11) points at the final follow-up. The final VISA-A-G score was 93 (26), the VAS-FA score 93 (15), the SF-12 Physical Component Summary 56 (8), and the SF-12 Mental Component Summary 55 (12) points. There was an additional FFI improvement between 12 months and the final follow-up. Up to 47% (VISA-A-G) of patients had residual symptoms. A postoperative shoe conflict was the only parameter negatively affecting the PROMs ( P < .001). Conclusion: Addressing all pathologies of IAT by the MITA resulted in overall good postoperative PROMs after 4 years. But up to 47% of patients remained impaired. The only parameter correlating with an impaired PROM was a postoperative shoe conflict. Level of Evidence: Level IV, retrospective cohort study.

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