Evidence map›Paper›PMID 34988234›Full record

ArticleOrthopaedic journal of sports medicine2021

Radiofrequency Microtenotomy or Physical Therapy for Achilles Tendinopathy: Results of a Randomized Clinical Trial.

Zeiad Al-Ani, Dana Meknas, Jüri-Toomas Kartus, Øyvind Lyngedal, Khaled Meknas

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03274557 (Treatment of Achilles Tendinose), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03274557 nacompletednot on this map

Treatment of Achilles Tendinose

TypeinterventionalSponsorUniversity Hospital of North NorwayRan2017 to 2018Enrolled40ConditionsAchilles PainArmsRFM
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Zeiad Al-AniDepartment of Radiology, University Hospital of North Norway, Tromsø, Norway.
Dana MeknasDepartment of Orthopedics, University Hospital of North Norway, Tromsø, Norway.
Jüri-Toomas KartusInstitution of Clinical Science, Sahlgrenska Academy, Gothenburg, Sweden.
Øyvind LyngedalDepartment of Orthopedics, University Hospital of North Norway, Tromsø, Norway.
Khaled MeknasDepartment of Orthopedics, University Hospital of North Norway, Tromsø, Norway.
UiT The Arctic University of Norway · NOUniversity Hospital of North Norway · NOUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchilles tendinopathy is a painful disorder, and various treatment options are available. Bipolar radiofrequency microtenotomy (RFM) has shown promising results in treating tendinosis. PURPOSE/HYPOTHESIS: The purpose was to compare the results between treatment with bipolar RFM and physical therapy (PT) for patients with midportion Achilles tendinopathy. It was hypothesized that RFM would be equivalent or superior to PT. STUDY

designRandomized controlled trial; Level of evidence, 1.

methodsA total of 38 patients with midportion Achilles tendinopathy were evaluated for 2 years. The patients were randomized to receive either RFM or PT. There were 20 patients in the RFM group and 18 patients in the PT group. Clinical outcomes were assessed using the visual analog scale (VAS) for pain and the Foot and Ankle Outcome Score (FAOS). The degree of tendinosis was evaluated with magnetic resonance imaging (MRI) of the affected ankle performed before intervention and 2 years after intervention.

resultsIn both groups, the VAS scores at the 2-year follow-up were significantly improved compared with preintervention: from 7.2 ± 1.5 to 1.0 ± 1.4 for the RFM group and from 5.9 ± 1.3 to 3.1 ± 1.8 for the PT group (

conclusionIn this randomized study, the clinical assessments revealed significant improvements in the VAS, FAOS, and tendinosis score as seen on MRI 2 years after intervention with either RFM or PT in patients with midportion Achilles tendinopathy. The improvement was significantly better in the RFM group with regard to VAS and FAOS, but not in the MRI appearance. REGISTRATION: NCT03274557 (ClinicalTrials.gov identifier).

Indexed as

Achilles tendonphysical therapyradiofrequency microtenotomyrandomizedsurgerytendinopathy

Identifiers

PMID34988234
PMCPMC8721382
OpenAlexW4200233938

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.