Outcome After Surgical Reconstruction of the Achilles Tendon Insertion.
- Conditions
- Achilles TendinopathyInsertional Achilles Tendinopathy
- Interventions
- Procedure: Reconstruction of Achilles tendon insertion
- Registration Number
- NCT06030908
- Lead Sponsor
- Krankenhaus Barmherzige Schwestern Linz
- Brief Summary
The purpose of this study is to evaluate the functional outcomes and sports ability after surgical treatment of insertional Achilles tendon tendinopathy using tendon detachment, debridement, and double-row anchor refixation.
- Detailed Description
The lifetime risk of Achilles tendon pain is approximately 6%, one-third of whom complain of pain at the bony attachment of the Achilles tendon to the calcaneus.
Primary treatment of these insertional tendinopathies is always nonsurgical with physical therapy, orthotics, shock wave therapy, or various forms of injections. If there is no response to therapy, surgery is warranted after three to six months. In this procedure, the tendon is detached from the bone, the damaged portions of the tendon are removed, bony prominences are rounded, and finally the tendon attachment is reconstructed and fixed with anchors. Various anchor systems are available for this purpose.
The double-row anchor system used by the investigators in recent years allows stable, knotless, two-dimensional refixation of the Achilles tendon to the calcaneus and thus permits rapid rehabilitation. Recent studies show good functional results 33 months after reconstruction of the Achilles tendon attachment with the "Speed Bridge" System. To the best of our knowledge, however, there are no studies to date on sports ability after this operation.
The investigators are therefore conducting a retrospective collection of clinical patient data combined with a planned (prospective) questionnaire survey of patients with insertional Achilles tendon tendinopathy who received surgical treatment with tendon refixation.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 23
- All patients who underwent reconstruction and double-row anchor refixation of the Achilles tendon insertion due to an insertional tendinopathy of the Achilles tendon.
- Lack of informed consent
- Revision surgery
- Patients who had another operation on the same leg during the same procedure or 6 months later
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Study Population Reconstruction of Achilles tendon insertion Patients who underwent surgical reconstruction of the Achilles tendon insertion using a knotless, double-row anchor system.
- Primary Outcome Measures
Name Time Method Return to sports Rate minimum 12 months from surgery to follow-up in percentage compared to preoperatively
- Secondary Outcome Measures
Name Time Method Number of sport units per week, sport disciplines practiced minimum 12 months from surgery to follow-up in absolute numbers
Length of sport units minimum 12 months from surgery to follow-up in minutes
Change of pain after surgery minimum 12 months from surgery to follow-up Visual analog scale; 0-10; 0 means no pain, 10 means worst pain
Satisfaction with result minimum 12 months from surgery to follow-up Visual analog scale; 0-10; 0 means not satisfied, 10 means maximum satisfaction
Range of motion after surgery minimum 12 months from surgery to follow-up in degrees
Subjective change of instability after surgery minimum 12 months from surgery to follow-up Visual analog scale; 0-10; 0 means no instability, 10 means worst instability
Trial Locations
- Locations (1)
Ordensklinikum Linz, Barmherzige Schwestern Abteilung Orthopädie
🇦🇹Linz, Austria