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Reinsertion Achilles Tendon VS Zadek Osteotomy in Insertional Achilles Tendinopathy

ConditionInsertional Achilles Tendinopathy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAssiut University

About this trial

The aim of this study is to Compare functional outcome and the recovery time of reinsertion of achilles tendon VS zadek osteotomy in insertional achilles tendinopathy.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age range 18 - 65

Insertional Achilles tendinopathy without steroid injection, infection, tendon rupture and ankle fracture

Disqualifiers

Age < 18 years, > 65

General medical contraindications to surgical interventions

Calcaneal Fracture, subtalar fusion

infection.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Reinsertion achilles tendon

    Procedure/Surgery

    Prone position, tourniquet over the thigh, direct midline incision, 2.0 cm proximal the insertion of the Achilles tendon up to 4.0 cm prolonged distal to the insertion is recommended. This is followed by a totally disinsertion of TA. At least a debridement of inflammatory or necrotic tissue as well as the removal of bony tissue is performed. tendon is re-inserted by 2-4 anchors.

  • Zadek osteotomy

    Procedure/Surgery

    lateral position, under spinal anesthesia, tourniquet over the thigh, oblique lateral heel incision starting just anterior to the Achilles tendon, at a 45 angle to the long axis of the calcaneus posterior to the course of the sural nerve. A calcaneal osteotomy was then performed, two Kirschner wires, were then inserted from the posterior aspect of the calcaneus, over which cannulated screws were used for fixation of the osteotomy.

Treatment groups

42 Participants
are divided into 2 treatment groups
Group A: Reinsertion achilles tendonActive comparator 1 intervention
Group B: Zadek osteotomyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

the time needed to return to normal daily activities (functional outcome) assessed by foot and ankle outcome score.

foot and ankle outcome score is a tool to measure the symptoms, stiffness, pain, function, daily living, sports and recreational activities of foot and ankle problems. It is based on 100 questions and ranges from 0 to 100, with higher scores indicating more severe symptoms or limitations.

Time frame
up to1 year post baseline

Secondary outcomes

1

Pain assessed by the visual analogue scale.

The visual analogue scale (VAS) is a scale used to determine the pain intensity experienced by individuals. It consists of a line, approximately 10-15 cm in length, with the left side signifying no pain with a smiling face image and the right side signifying the worst pain ever with a frowning face image. The VAS is used to assist individuals to determine pain levels, who may not be accustomed to rating their pain on other types of scales, such as a numeric rating scale.

Time frame
up to1 year post baseline
2

Rate of complications

Rate of complications e.g. non-union, post-operative infections

Time frame
up to1 year post baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Assiut University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: