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The optimal surgical treatment for insertional Achilles tendinopathy remains unclear. The purpose of this study is to evaluate the long-term outcome of surgical treatment by comparing the patient reported outcomes of Insertional Achilles Tendinopathy; Achilles tendon debridement, excision calcaneal exostosis, Strayer procedure, secondary repair of Achilles with flexor hallucis longus (FHL) transfer and Achilles tendon debridement, excision calcaneal exostosis, Strayer procedure, secondary repair of Achilles without FHL transfer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FHL tendon transferred | Active Comparator | Surgical group in which the FHL tendon was transferred |
|
| FHL tendon not transferred | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flexor Hallucis Longus Tendon transfer | Procedure | The flexor hallucis longus tendon was transferred during surgery for insertional achilles tendinopathy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Statistical difference | To detect a 20% difference in clinical outcomes between the two surgical groups. | 2 years |
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Inclusion Criteria:
Male and female 18 years or older
Diagnosed with insertional Achilles tendinosis by history and physical exam
Confirmed by x-ray and MRI
Calcification at the Achilles insertion and gastrocnemius tightness.
Failure of the following non-operative treatment for greater than 6 months: *shoe modifications
In addition, participant must have an intact flexor hallucis longus tendon.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marjorie L Delaney, APN | Contact | 630-225-2554 | marjorie.delaney@oadortho.com | |
| Gregory P Witkowski, MD | Contact | 630-225-2663 | gregory.witkowski@oadortho.com |
| Name | Affiliation | Role |
|---|---|---|
| Gregory P Witkowski, MD | OAD Orthopaedics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OAD Orthopaedics | Recruiting | Warrenville | Illinois | 60555 | United States |
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| Transfer of the Flexor Hallucis Longus Tendon | Procedure | The Flexor Hallucis Longus Tendon was transferred during surgery for insertional achilles tendinopathy |
|
| No transfer of Flexor Hallucis Longus tendon | Procedure | There was no transfer of the Flexor Hallucis Longus tendon in surgery for insertional achilles tendinopathy |
|