UnknownNot Applicable

Achillestendinopathy Treated With Proximal Medial Gastrocnemius Recession

Norway60 participantsStarted 2021-12-31

Plain-language summary

This is a prospective cohort study that will follow 60 patients treated with Proximal Medial Gastrocnemius Recession for Chronic Mid-Portion Achilles Tendinopathy for 5 years postoperatively.

Who can participate

Age range18 Years – 75 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Age 18-75 years.
✓. Diagnosis CMPAT verified clinically by orthopedic surgeon. Symptoms must include mid-portion pain in the Achilles, swelling and reduced tolerance for weightbearing.
✓. Verified diagnosis with MRI findings representing pathologic processes of tendon degeneration and repair (13). MRI no older than 12 months.
✓. Duration of symptoms must be at least 12 months.
✓. Isolated gastrocnemius tightness must be verified with the Silfverskiölds test before inclusion. The Silfverskiöld test is considered positive if ankle dorsiflexion is restricted to 5 degrees or less with the knee extended, and there is an increase of ankle dorsiflexion of at least 10 degrees when flexing the knee.
✓. At least three months of conventional physical therapy with eccentric training must have been tried without providing relief of symptoms.

Exclusion criteria

✕. Previous history of complete Achilles tendon rupture.
✕. Other combined pathologies in the Achilles tendon of calf (Sequela from trauma, infections, cancer etc.).
✕. Insertional Achilles tendinopathy.
✕. Previously undergone surgery in affected tendon.
✕. Patients with severe talocrural pathology or serious malalignment of foot and ankle.
✕. Severely reduced peripheral circulation.
✕. History of alcoholism, drug abuse, psychological or other emotional problems likely to jeopardize informed consent.
✕. Patients with a contraindication/non-compliance for MRI examination.

What they're measuring

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: Baseline

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 3 months

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 1 year

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 2 years

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 5 years

Trial details

NCT IDNCT05179551

SponsorOstfold Hospital Trust

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-05-31

Contact for this trial

Martin O Riiser, MD

+4797146230 riiser.martin@gmail.com

View on ClinicalTrials.gov More Achilles Tendinopathy trials

Who can participate

Age range18 Years – 75 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Age 18-75 years.
✓. Diagnosis CMPAT verified clinically by orthopedic surgeon. Symptoms must include mid-portion pain in the Achilles, swelling and reduced tolerance for weightbearing.
✓. Verified diagnosis with MRI findings representing pathologic processes of tendon degeneration and repair (13). MRI no older than 12 months.
✓. Duration of symptoms must be at least 12 months.
✓. Isolated gastrocnemius tightness must be verified with the Silfverskiölds test before inclusion. The Silfverskiöld test is considered positive if ankle dorsiflexion is restricted to 5 degrees or less with the knee extended, and there is an increase of ankle dorsiflexion of at least 10 degrees when flexing the knee.
✓. At least three months of conventional physical therapy with eccentric training must have been tried without providing relief of symptoms.

Exclusion criteria

✕. Previous history of complete Achilles tendon rupture.
✕. Other combined pathologies in the Achilles tendon of calf (Sequela from trauma, infections, cancer etc.).
✕. Insertional Achilles tendinopathy.
✕. Previously undergone surgery in affected tendon.
✕. Patients with severe talocrural pathology or serious malalignment of foot and ankle.
✕. Severely reduced peripheral circulation.
✕. History of alcoholism, drug abuse, psychological or other emotional problems likely to jeopardize informed consent.
✕. Patients with a contraindication/non-compliance for MRI examination.

What they're measuring

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: Baseline

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 3 months

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 1 year

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 2 years

VISA-A - Victorian Institute of Sport Assessment- Achilles Questionnaire

Timeframe: 5 years