Insertional Achilles Tendinopathy: A Minimally Invasive Approach.

Schultz, Jacob D; Kadakia, Anish; Strasser, Nicholas · Foot Ankle Clin · 2026

review · Level V

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Abstract

Insertional Achilles tendinopathy is a common overuse injury of the lower extremity classically treated with open debridement and tendon repair. However, wound complications and prolonged non-weightbearing are limiting factors for this treatment. Recently, a minimally invasive endoscopic debridement with double-row suture repair has emerged as an alternative, soft-tissue friendly option for operative management. The purpose of this study is to examine the benefits of and provide a technique for this procedure using the Arthrex MIS Achilles Speedbridge System (Naples, FL).

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