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Outcome After Surgical Reconstruction of the Achilles Tendon Insertion.

K

Krankenhaus Barmherzige Schwestern Linz

Status

Active, not recruiting

Conditions

Insertional Achilles Tendinopathy
Achilles Tendinopathy

Treatments

Procedure: Reconstruction of Achilles tendon insertion

Study type

Observational

Funder types

Other

Identifiers

NCT06030908
AST_2023

Details and patient eligibility

About

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.

Full 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.

Enrollment

23 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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

Trial design

23 participants in 1 patient group

Study Population
Description:
Patients who underwent surgical reconstruction of the Achilles tendon insertion using a knotless, double-row anchor system.
Treatment:
Procedure: Reconstruction of Achilles tendon insertion

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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