Related Experiment Video
Updated: Aug 5, 2026
05:25
Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Recovery After Surgery for Insertional Achilles Tendinopathy With and Without Bioinductive Scaffold Augmentation: A
Gil Genuth1, Peter Stavrou2, Lukas D Iselin3
1Assuta Medical Centre, Tel Aviv, Israel.
Orthopaedic Journal of Sports Medicine
|August 1, 2026
Summary
Bioinductive collagen scaffolds may accelerate recovery for insertional Achilles tendinopathy (IAT) surgery. Patients receiving scaffolds showed faster return to sport and earlier pain relief, with similar long-term outcomes to standard repair.
Area of Science:
- Orthopedic Surgery
- Biomaterials in Tendon Repair
- Regenerative Medicine
Background:
- Insertional Achilles tendinopathy (IAT), often linked to Haglund deformity, causes posterior heel pain, frequently necessitating surgery.
- Bioinductive collagen scaffolds are explored as an adjunct to enhance tendon healing following surgical intervention.
Purpose of the Study:
- To compare clinical and structural outcomes of open IAT surgery with and without bioinductive collagen scaffold augmentation.
Main Methods:
- A retrospective comparative cohort study included 30 patients undergoing open IAT surgery with Haglund resection.
- Fifteen patients received standard repair, while 15 had augmentation with a bioinductive collagen scaffold.
- PROMIS Physical Function (PF) and Pain Interference (PI) scores, return to sport (RTS) time, and MRI outcomes were assessed.
Main Results:
- The scaffold group demonstrated significantly greater improvements in PF and PI scores at 6 months post-surgery (P < .05).
- Time to return to sport (RTS) was shorter in the scaffold group (8 months vs. 9.7 months, P = .02).
- Longer-term PROMIS scores at 12 and 18 months, MRI findings, and complication rates were comparable between groups.
Conclusions:
- Bioinductive scaffold augmentation appears safe for open IAT surgery, potentially leading to earlier functional improvements and faster return to sport.
- While initial recovery may be accelerated, long-term outcomes are similar to standard repair, suggesting a role for scaffolds in active individuals.
