A Randomized Trial to Evaluate the Effectiveness of Transferring the Flexor Hallucis Longus Tendon
Status: | Recruiting |
---|---|
Conditions: | Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/2/2016 |
Start Date: | April 2011 |
Contact: | Marjorie L Delaney, APN |
Email: | marjorie.delaney@oadortho.com |
Phone: | 630-225-2554 |
Insertional Achilles Tendinopathy: A Randomized Trial to Evaluate the Effectiveness of Transferring the Flexor Hallucis Longus Tendon
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.
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.
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
- physical therapy
- immobilization
- and home exercise program.
- In addition, participant must have an intact flexor hallucis longus tendon.
Exclusion Criteria:
- Patients who have failed surgery for the same and patients with diabetic neuropathy.
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