Minimally Invasive and Endoscopic Approach for the Treatment of Noninsertional Achilles Tendinopathy

Craig C Akoh; Phinit Phisitkul

doi:10.1016/j.fcl.2019.04.007

Minimally Invasive and Endoscopic Approach for the Treatment of Noninsertional Achilles Tendinopathy

Foot Ankle Clin. 2019 Sep;24(3):495-504. doi: 10.1016/j.fcl.2019.04.007. Epub 2019 May 21.

Authors

Craig C Akoh¹, Phinit Phisitkul²

Affiliations

¹ Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health Madison, 600 Highland Avenue, Room 6220, Madison, WI 53705-2281, USA. Electronic address: ccakoh@gmail.com.
² Tri-State Specialists, LLP, 2730 Pierce Street Suite 300, Sioux City, IA 51104, USA.

PMID: 31370999
DOI: 10.1016/j.fcl.2019.04.007

Abstract

Minimally invasive treatment can offer an earlier recovery with less pain and scarring compared with traditional open surgeries. The goals of minimally invasive surgery are to debride degenerative tendon, stimulate healing, and, when appropriate, repair damaged tendon. Sclerotherapy and prolotherapy have been shown to reduce neovascularization and pain. Percutaneous stripping and endoscopic debridement are better options for diffuse tendinopathy. Plantaris release can be useful in diffuse disease in patients with primarily medial-sided Achilles pain. Overall, minimally invasive surgery provides similar benefits as open procedures with reduced complications and morbidity.

Keywords: Achilles stripping; Achilles tendinopathy; Endoscopy; Longitudinal tenotomy; Minimally invasive; Prolotherapy; Sclerotherapy.

Publication types

Review

MeSH terms

Achilles Tendon / surgery*
Debridement
Endoscopy / methods*
Humans
Minimally Invasive Surgical Procedures / methods*
Sclerosing Solutions / therapeutic use
Tendinopathy / surgery*
Tenotomy / methods*

Substances

Sclerosing Solutions