Achilles Tendinopathy, Insertional Achilles Tendinopathy
Conditions
Keywords
insertional, Achilles Tendinopathy, surgery, sport
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.
Interventions
PROCEDUREReconstruction of Achilles tendon insertion
knotless double-row anchor fixation of the achilles tendon insertion
Sponsors
Krankenhaus Barmherzige Schwestern Linz
Study design
Observational model
CASE_ONLY
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* All patients who underwent reconstruction and double-row anchor refixation of the Achilles tendon insertion due to an insertional tendinopathy of the Achilles tendon.
Exclusion criteria
* Lack of informed consent * Revision surgery * Patients who had another operation on the same leg during the same procedure or 6 months later
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Return to sports Rate | minimum 12 months from surgery to follow-up | in percentage compared to preoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of sport units | minimum 12 months from surgery to follow-up | in minutes |
| Range of motion after surgery | minimum 12 months from surgery to follow-up | in degrees |
| Number of sport units per week, sport disciplines practiced | minimum 12 months from surgery to follow-up | in absolute numbers |
| 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 |
| 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 |
Countries
Austria
Outcome results
None listed