Impact of BMI on two-year clinical outcomes following surgical treatment of insertional achilles tendinopathy.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-09-11 DOI:10.1016/j.fas.2026.09.008

Ying Jin Tan, Adriel You Wei Tay, Kizher Shajahan Mohamed Buhary, Rui Xiang Toh, Zong Xian Li, Kae Sian Tay

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Abstract

Introduction: Higher body mass index (BMI) may increase complications and poor outcomes surgery for insertional Achilles tendinopathy (IAT) but its exact impact remains unclear.

Methods: A retrospective review of 75 unilateral IAT surgery patients was performed, and patients were categorised into normal (< 30 kg/m², n = 47) and obese BMI (≥ 30 kg/m², n = 28) groups. Clinical outcomes were assessed preoperatively, at 6-months and 2-years postoperatively using AOFAS hindfoot, VAS pain, SF-36 physical and mental scores, and patient satisfaction.

Results: Both groups showed significant improvement in all measures with no significant differences between the two groups. Both groups achieved similar final postoperative scores at 2 years. Wound complications were higher in the obese group (n = 2 vs 1, 7.1% vs 2.1%) but was not statistically significant (p = 0.284). Postoperative satisfaction (p = 0.394) was comparable.

Conclusion: Obese patients can achieve outcomes comparable to those with normal BMI following IAT surgery.

Levels of evidence: Level III, retrospective cohort study.

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BMI对插入性跟腱病手术治疗后两年临床结果的影响。

较高的身体质量指数（BMI）可能增加插入性跟腱病（IAT）手术的并发症和不良结果，但其确切影响尚不清楚。方法：回顾性分析75例单侧IAT手术患者，将患者分为正常组（< 30 kg/m2, n = 47）和肥胖组（≥30 kg/m2, n = 28）。采用AOFAS后足评分、VAS疼痛评分、SF-36身心评分和患者满意度对术前、术后6个月和2年的临床结果进行评估。结果：两组患者各项指标均有显著改善，两组间差异无统计学意义。两组术后2年的最终评分相似。肥胖组伤口并发症发生率较高（n = 2 vs 1, 7.1% vs 2.1%），但差异无统计学意义（p = 0.284）。术后满意度具有可比性（p = 0.394）。结论：肥胖患者在IAT手术后可获得与正常BMI患者相当的结果。证据水平：III级，回顾性队列研究。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.