biostudies-literatureUnknown12(2)Thermann H<h4>Background</h4>When non-operative management fails to improve symptoms in patients with non-insertional Achilles tendinopathy, surgery may be required. Various open and endoscopic techniques have been proposed, and platelet-rich plasma (PRP) injections have been proposed as an adjunct to aid tendon healing.<h4>Methods</h4>Thirty-six patients with mid-portion Achilles tendinopathy were randomized to undergo endoscopic debridement alone (n = 19) or in combination with intraoperative PRP application (n = 17). Clinical outcome measures included the Visual Analogue Scale for pain, function, and satisfaction and the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Patients were followed-up at 6 weeks, 3 months, 6 months, and 12 months after surgery. An MRI examinatioJournal of sport and health science275-280https://www.ebi.ac.uk/biostudies/studies/S-EPMC10105028biostudies-literatureEndoscopic debridement for non-insertional Achilles tendinopathy with and without platelet-rich plasma.PMC10105028Cipollaro LMaffulli NThermann HFischer RGougoulias NfalseEndoscopic debridement for non-insertional Achilles tendinopathy with and without platelet-rich plasma.<h4>Background</h4>When non-operative management fails to improve symptoms in patients with non-insertional Achilles tendinopathy, surgery may be required. Various open and endoscopic techniques have been proposed, and platelet-rich plasma (PRP) injections have been proposed as an adjunct to aid tendon healing.<h4>Methods</h4>Thirty-six patients with mid-portion Achilles tendinopathy were randomized to undergo endoscopic debridement alone (n = 19) or in combination with intraoperative PRP application (n = 17). Clinical outcome measures included the Visual Analogue Scale for pain, function, and satisfaction and the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Patients were followed-up at 6 weeks, 3 months, 6 months, and 12 months after surgery. An MRI examinatio2023-01-01T00:00:00Z2023 Mar2025-04-04T12:43:49.766Z2025-04-04T12:43:49.766ZS-EPMC101050283261965610.1016/j.jshs.2020.06.012