Achilles tendon surgery showdown: which repair works best?
NCT ID NCT07323875
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two surgical methods (single-row vs. double-row repair) for people with chronic Achilles tendon pain that hasn't improved with non-surgical treatments. Researchers will measure pain, function, and costs in 166 adults aged 18-75 to determine which approach provides better outcomes and value.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 166 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Must be deemed to have capacity to provide informed consent; 2. Must sign and date the informed consent form; 3. Stated willingness to comply with all study procedures; 4. Adult patients between the ages of 18 and 75 years with symptomatic chronic Achilles insertional tendinopathy for a minimum of 3 months 5. Failure of non-operative management (which includes physiotherapy, stretching exercises, heel lifts, nonsteroidal anti-inflammatory drugs (NSAIDs), activity modification, etc.) for at least 3 months. 6. Preoperative imaging (x-ray and Medical Resonance Imaging (MRI)) is available and completed; 7. Willingness of patients to follow the postoperative rehabilitation protocol; 8. Willingness of patients to be available for follow up appointments for up to 2 years. Exclusion Criteria: 1. Non-insertional Achilles tendinopathy; 2. Achilles tendon rupture; 3. Previous Achilles tendon surgery; 4. Oral steroid use or steroid injection within 3 months of surgery; 5. History of connective tissue or collagen disorder (e.g. Marfan Syndrome) 6. History of chronic inflammatory disorders 7. History of neurological disease (stroke, cerebral palsy) 8. History of using more than 30mg of oxycodone or equivalent per day; 9. Current cigarette smoker (Former smokers must have quit for minimum of one year) 10. Diabetes type I or II 11. Pregnancy 12. Hypersensitivity to metal, Polylactic Acid (PLA), or Polyetheretherketone (PEEK) materials 13. Active infection 14. Worker's compensation claim (e.g. WSIB) 15. History of cognitive or mental health conditions that would make the participant unable to complete study procedures 16. Non-English speaking
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Women's College Hospital
Toronto, Ontario, M5S 1B2, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can collagen shots around the heel tendon speed recovery?
- Tendon pain showdown: which injection works better?
- Keyhole surgery may beat open cuts for achilles repair
- Pilates put to the test for achilles pain relief
- Exercise study for sore achilles tendons pulled before it began
- New tool may predict who will suffer after achilles surgery