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Insertional Achilles Tendinopathy: A Minimally Invasive Approach
Jacob D Schultz1, Anish Kadakia2, Nicholas Strasser3
1Department of Orthopedics, Vanderbilt University Medical Center, Nashville, TN, USA.
Foot and Ankle Clinics
|July 31, 2026
Summary
Minimally invasive endoscopic debridement offers a less invasive surgical option for insertional Achilles tendinopathy. This technique may reduce complications associated with traditional open surgery, promoting faster recovery for lower extremity overuse injuries.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Insertional Achilles tendinopathy is a prevalent lower extremity overuse injury.
- Traditional open debridement and repair present challenges, including wound complications and extended non-weightbearing periods.
- Minimally invasive endoscopic techniques offer a promising alternative for managing this condition.
Purpose of the Study:
- To evaluate the advantages of minimally invasive endoscopic debridement with double-row suture repair for insertional Achilles tendinopathy.
- To present a detailed surgical technique utilizing the Arthrex MIS Achilles Speedbridge System.
Main Methods:
- Endoscopic debridement of the diseased tendon tissue.
- Double-row suture repair technique for tendon reconstruction.
- Utilized the Arthrex MIS Achilles Speedbridge System for the procedure.
Main Results:
- The study aims to examine the benefits of this minimally invasive approach.
- Specific results regarding complication rates and recovery times are anticipated.
- The technique is presented as a soft-tissue friendly alternative.
Conclusions:
- Minimally invasive endoscopic debridement with double-row suture repair is a viable alternative to open surgery for insertional Achilles tendinopathy.
- This approach may mitigate risks of wound complications and shorten non-weightbearing duration.
- The Arthrex MIS Achilles Speedbridge System facilitates this advanced surgical technique.
