--- title: "Peritenolysis & debridement: main body Achilles tendinopathy | Sutter Health" description: "With >97% of pts able to return to their desired activities, we concluded peritenolysis & debridement are favorable surg techniques for Achilles tendinopathy." url: "https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Peritenolysis & debridement: main body Achilles tendinopathy # Peritenolysis and debridement for main body (mid-portion) Achilles tendinopathy in athletic patients: results of 107 procedures. Saxena A, Hong BK, & Hofer D. _J Foot Ankle Surg. pii: S1067-2516(17)30271-5. doi: 10.1053/j.jfas.2017.04.020. \[Epub ahead of print\]_ 2017-05-31 ## Abstract Achilles tendinopathy in the main body (mid-portion) of the tendon is a common pathologic finding among active and athletic populations and can be debilitating without proper and adequate treatment. Numerous surgical approaches for this common pathologic finding have been reported, with variable outcomes. We evaluated the surgical outcomes of peritenolysis and debridement of main body Achilles tendinopathy among athletic populations using the return to activity (RTA) and decreased desired activity (DDA) as our primary outcome measures. A total of 100 patients who underwent 107 procedures by the senior author (A.S.) from January 2001 through December 2015 met the inclusion criteria, 65 (65%) of whom were runners. The mean follow-up duration was 106.6 ± 55.5 months from the index procedure, and the mean interval necessary to RTA for the entire group was 10.9 ± 5.3 weeks. The average RTA after debridement was 14.1 ± 5.2 weeks and after peritenolysis was 7.3 ± 2.0 weeks (p = .00001). Of the 100 patients, 3 (3%) had experienced a DDA at the last follow-up visit. With >97% of the patients able to return to their desired activities, we have concluded that peritenolysis and debridement are favorable surgical techniques for main body Achilles tendinopathy. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/28579127) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [An Internet-based risk- and stage-tailored osteoporotic fracture risk management program: Effect on knowledge, attitudes and behaviors](https://www.sutterhealth.org/research/publications/osteoporotic-fracture-risk-management-program-1055312543) Drieling RL, Ma J, Thiyagarajan S, Stafford RS. J Women's Health (Larchmt). 20(12):1895-907. doi: 10.1089/jwh.2010.2515. Epub 2011 Oct 4. 2011 Dec 01 - Publication ### [Percutaneous ultrasonic tenotomy for Achilles tendinopathy is a surgical procedure with similar complications.](https://www.sutterhealth.org/research/publications/percutaneous-ultrasonic-tenotomy-for-achilles-tendinopathy-1055312483) Sanchez PJ, Grady JF, Saxena A. J Foot Ankle Surg. 56(5):982-984. doi: 10.1053/j.jfas.2017.06.015. 2017 Sep 01 - Publication ### [Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy.](https://www.sutterhealth.org/research/publications/extracorporeal-shock-wave-tx-achilles-tendinopathy-1055312410) Gerdesmeyer L, Mittermayr R, Fuerst M, Al Muderis M, Thiele R, Saxena A, Gollwitzer H. Int J Surg. 24(Pt B):154-9. doi: 10.1016/j.ijsu.2015.07.718. 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J Foot Ankle Surg. 56(5):950-953. doi: 10.1053/j.jfas.2017.06.020. 2017 Sep 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Peritenolysis & debridement: main body Achilles tendinopathy"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289#medicalscholarlyarticle","name":"Peritenolysis and debridement for main body (mid-portion) Achilles tendinopathy in athletic patients: results of 107 procedures.","headline":"Peritenolysis & debridement: main body Achilles tendinopathy","abstract":"Achilles tendinopathy in the main body (mid-portion) of the tendon is a common pathologic finding among active and athletic populations and can be debilitating without proper and adequate treatment. Numerous surgical approaches for this common pathologic finding have been reported, with variable outcomes. We evaluated the surgical outcomes of peritenolysis and debridement of main body Achilles tendinopathy among athletic populations using the return to activity (RTA) and decreased desired activity (DDA) as our primary outcome measures. A total of 100 patients who underwent 107 procedures by the senior author (A.S.) from January 2001 through December 2015 met the inclusion criteria, 65 (65%) of whom were runners. The mean follow-up duration was 106.6 ± 55.5 months from the index procedure, and the mean interval necessary to RTA for the entire group was 10.9 ± 5.3 weeks. The average RTA after debridement was 14.1 ± 5.2 weeks and after peritenolysis was 7.3 ± 2.0 weeks (p = .00001). Of the 100 patients, 3 (3%) had experienced a DDA at the last follow-up visit. With >97% of the patients able to return to their desired activities, we have concluded that peritenolysis and debridement are favorable surgical techniques for main body Achilles tendinopathy.","description":"With >97% of pts able to return to their desired activities, we concluded peritenolysis & debridement are favorable surg techniques for Achilles tendinopathy.","keywords":["Disease Management","Musculoskeletal Disorders"],"datePublished":"2017-05-31","url":"https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"28579127"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1053/j.jfas.2017.04.020"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/28579127/","https://doi.org/10.1053/j.jfas.2017.04.020"],"isPartOf":{"@type":"Periodical","name":"J Foot Ankle Surg"},"author":[{"@type":"Person","name":"Saxena A"},{"@type":"Person","name":"Hong BK"},{"@type":"Person","name":"Hofer D"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/peritenolysis-debridemt-achilles-tendinopathy-1055312289#breadcrumblist"}}} ```