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Radiofrequency Microdebridement Versus Surgical Decompression for Achilles Tendinosis: A Randomized Controlled Trial
Rory J M Morrison1, Timothy M Brock1, Mike R Reed2
1Specialist Registrar, Trauma and Orthopaedic Surgery, Department of Trauma and Orthopaedic Surgery, Northumbria Healthcare NHS Foundation Trust, Ashington, United Kingdom.
Summary
Radiofrequency microdebridement for Achilles tendinosis showed no benefit over traditional surgery. Both treatments improved patient outcomes, but Topaz® microdebrider had variable results and complications.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Minimally invasive procedures
Background:
- Achilles tendinosis management often involves nonoperative treatments.
- Surgical decompression is a traditional approach.
- Radiofrequency microdebridement is a novel, minimally invasive alternative.
Purpose of the Study:
- To compare radiofrequency microdebridement (Topaz®) with traditional surgical decompression for Achilles tendinosis.
- To evaluate patient-reported outcomes using the VISA-A score and VAS.
- To assess the efficacy and safety of both treatment modalities.
Main Methods:
- Single-blinded, randomized controlled trial.
- 16 patients received traditional decompression, 20 received Topaz® treatment.
- Outcomes measured using VISA-A and VAS at baseline and 6 months.
Main Results:
- Both groups showed significant improvement in VISA-A and VAS scores post-intervention.
- No significant difference in outcomes was found between Topaz® and traditional decompression at 6 months.
- Topaz® microdebrider use was associated with variable outcomes and complications.
Conclusions:
- Topaz® microdebrider offers no additional benefit over traditional surgical decompression for Achilles tendinosis.
- Traditional surgical decompression remains a viable option.
- The study concluded that Topaz® is no longer recommended for Achilles tendinosis treatment due to inconsistent results and complications.
