Single-Row Versus Double-Row Repair for Achilles Insertional Tendinopathy (NCT07323875) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Single-Row Versus Double-Row Repair for Achilles Insertional Tendinopathy
Canada166 participantsStarted 2026-02
Plain-language summary
Achilles insertional tendinopathy may require surgical debridement and tendon reattachment when non-operative treatment fails. Single-row and double-row repairs are used, with biomechanical studies favoring double-row, but clinical evidence of improved outcomes is lacking and costs are higher. This multi-center randomized trial will use the VISA-A score to compare outcomes and inform cost-effective, evidence-based surgical care.
Who can participate
Age range18 Years – 75 Years
SexALL
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Inclusion criteria
✓. Must be deemed to have capacity to provide informed consent;
✓. Must sign and date the informed consent form;
✓. Stated willingness to comply with all study procedures;
✓. Adult patients between the ages of 18 and 75 years with symptomatic chronic Achilles insertional tendinopathy for a minimum of 3 months
✓. Failure of non-operative management (which includes physiotherapy, stretching exercises, heel lifts, nonsteroidal anti-inflammatory drugs (NSAIDs), activity modification, etc.) for at least 3 months.
✓. Preoperative imaging (x-ray and Medical Resonance Imaging (MRI)) is available and completed;
✓. Willingness of patients to follow the postoperative rehabilitation protocol;
✓. Willingness of patients to be available for follow up appointments for up to 2 years.
Exclusion criteria
✕. Non-insertional Achilles tendinopathy;
✕. Achilles tendon rupture;
✕. Previous Achilles tendon surgery;
✕. Oral steroid use or steroid injection within 3 months of surgery;
✕. History of connective tissue or collagen disorder (e.g. Marfan Syndrome)