Insertional Achilles tendinopathy is a common condition characterised by pain and inflammation at the back of the heel where the Achilles tendon inserts into the calcaneus, or heel bone. This can be exacerbated by a bony prominence at the back of the heel known as Haglund's deformity. Surgical intervention may be required in severe cases to remove a prominent bone and reattach the Achilles tendon. The SpeedBridge Repair created by Arthrex, is the preferred reattachment method in NHS Lothian, read on to find out more.
Adapted from information on the Arthrex website:
The Arthrex SpeedBridge system offers a unique solution for Achilles reattachment following Haglund's debridement. Traditional anchor fixation methods provide only a single point of compression over the anchor itself, which may not provide adequate stability for the tendon. In contrast, the SpeedBridge repair utilises a 4-anchor configuration to create an hourglass pattern of FiberTape suture over the distal end of the tendon. This knotless repair technique offers a greater area of compression for the Achilles tendon on the calcaneus, enhancing stability and allowing for immediate postoperative weightbearing and range of motion.
By improving tendon-to-bone opposition and providing rigid fixation, the Achilles SpeedBridge system promotes successful healing and rehabilitation following surgery. This innovative approach to Achilles reattachment is supported by research published in the Journal of Foot and Ankle Surgery, highlighting its efficacy in treating Achilles injuries.
In conclusion, the Achilles SpeedBridge implant system offers a promising solution for patients suffering from insertional Achilles tendinopathy and Haglund's deformity. By utilising a knotless repair technique and a 4-anchor configuration, this system enhances stability and allows for early postoperative mobility, with the aim of improving patient outcomes and recovery. A video explanation of the procedure can be seen here.
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