Clinical outcome of exercise therapy and early post-operative rehabilitation for treatment of neglected Achilles tendon rupture: a randomized study

Jielile, Jiasharete; Badalihan, Ayinazi; Qianman, Bayixiati; Satewalede, Tuerde; Wuerliebieke, Jianati; Kelamu, Mailamuguli; Jialihasi, Ayidaer

doi:10.1007/s00167-015-3598-4

Cited by 25 publications

(30 citation statements)

References 19 publications

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“…The operation time and blood loss in surgery and the complications of re-rupture, soft tissue infection, tendon exposure, tendon elongation, and adhesion in postoperative management were collected for analysis. Patients in two groups were taught standard physical exercise therapy and postoperative rehabilitation without immobilization, whose curative effect has been illustrated in our previous research 14 . The evaluation of ATRS, AOFAS were performed at months 3, 6, 12, and 24, and the dorsi exion, the calf circumference, and the heel raise test were evaluated at follow-up month 24.…”

Section: Patientsmentioning

confidence: 99%

Clinical Outcomes in Patients With Minimally Invasive Surgical Approach Combined With Plantar Tendon Transfer Repairing Neglected Achilles Tendon Rupture Compared to the Conventional Approach of V-Y Tendon Plasty: A Retrospective Study With Two Years Follow-Up

Cai

Liu

et al. 2021

Preprint

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Background Unlike acute Achilles tendon rupture (AATR), neglected Achilles tendon rupture (NATR) requires usually tendon grafting procedures for repair tendon defects caused by removing scar tissue. The conventional open surgery of V-Y tendon plasty and minimally invasive technique with plantar tendon transfer had been described, but the long-term efficacy between the two techniques still needs further certification. Methods Between February 1, 2008, and July 31, 2018. All of 46 patients with neglected Achilles tendon rupture, 25 patients in group A (21 males and 4 females; age, 34.28 ± 6.97 years) underwent the conventional operation of V-Y tendon plasty, and 21 patients in group B (14 males and 7 females; age, 35.29 ± 7.42 years) were treated by the minimally invasive technique. Two years follow-up was performed for the functional recovery with examinations of the Achilles tendon rupture score (ATRS), American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hind-Foot Scale Score, dorsiflexion, calf circumference, and heel raise test. Results Patient characteristics between the two groups were similar. The functional score of ATRS and AOFAS in Group B was higher than patients in group A at postoperative months 3, 6, and 12, while there is no difference at month 24. In group A, there were three patients exposed to soft tissue infections (two superficial infections and one deep infection) and one case with tendon exposure. In group B, a patient with tendon re-rupture was observed. There was no difference in dorsiflexion and calf circumference at follow-up two years and the much better recovery in heel raise test group B than A. Conclusions Two different techniques produced a significant functional improvement, and return to sports. However, this study demonstrated that the minimally invasive technique was recommended for patients with a tendon defect less than 6 cm and who have an urgent demand to return to the sports.

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Section: Patientsmentioning

confidence: 99%

Clinical Outcomes in Patients With Minimally Invasive Surgical Approach Combined With Plantar Tendon Transfer Repairing Neglected Achilles Tendon Rupture Compared to the Conventional Approach of V-Y Tendon Plasty: A Retrospective Study With Two Years Follow-Up

Cai

Liu

et al. 2021

Preprint

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“…Young SW, et al 106 84 1 NR Leppilahti score, halasi score Kernozek T, et al 362 . 2017 Conventional vs optimized inverse dynamics Running diff = 4.7% (p = 0.054) Gerus P, et al 372 .…”

Section: : Outcome Evaluation Devices (Indirect Determination Of Acmentioning

confidence: 99%

I.S.Mu.L.T. Achilles tendon ruptures guidelines

Oliva

Rugiero

Via

et al. 2019

Muscle Ligaments and Tendons J

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“…Each rabbit received feed and water freely, which enhanced the degree of EM. 5,[8][9][10] Rabbits in any of the groups were excluded from the study if any of the following occurred: death, loosening of the plaster cast, infection, or a gap in the tendon greater than 1.0 mm postoperatively.…”

Section: Animals and Proceduresmentioning

confidence: 99%

Early Ankle Mobilization Promotes Healing in a Rabbit Model of Achilles Tendon Rupture

Jielile¹,

Asilehan²,

Wupuer³

et al. 2016

Orthopedics

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The use of early mobilization of the ankle joint without orthosis in the treatment of Achilles tendon rupture has been advocated as the optimal management. The goal of this study was to compare outcomes in a postoperative rabbit model of Achilles tendon rupture between early mobilization and immobilized animals using a differential proteomics approach. In total, 135 rabbits were randomized into the control group (n=15), the postoperative cast immobilization (PCI) group (n=60), and the early mobilization (EM) group (n=60). A rupture of the Achilles tendon was created in each animal model and repaired microsurgically, and tendon samples were removed at 3, 7, 14, and 21 days postoperatively. Proteins were separated using 2-dimensional polyacrylamide gel electrophoresis and identified using peptide mass fingerprinting, tandem mass spectrometry, NCBI database searches, and bioinformatics analyses. A series of differentially expressed proteins were identified between groups, some of which may play an important role in Achilles tendon healing. Notable candidate proteins that were upregulated in the EM group were identified, such as CRMP-2, galactokinase 1, tropomyosin-4, and transthyretin. The healing of ruptured Achilles tendons appears to be affected at the level of protein expression with the use of early mobilization. The classic postoperative treatment of Achilles tendon rupture with an orthosis ignored the self-protecting instinct of humans. With a novel operative technique, the repaired tendon can persist the load that comes from traction in knee and ankle joint functional movement. In addition, kinesitherapy provided an excellent experimental outcome via a mechanobiological mechanism.

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Clinical outcome of exercise therapy and early post-operative rehabilitation for treatment of neglected Achilles tendon rupture: a randomized study

Abstract: II.

Cited by 25 publications

References 19 publications

Clinical Outcomes in Patients With Minimally Invasive Surgical Approach Combined With Plantar Tendon Transfer Repairing Neglected Achilles Tendon Rupture Compared to the Conventional Approach of V-Y Tendon Plasty: A Retrospective Study With Two Years Follow-Up

Clinical Outcomes in Patients With Minimally Invasive Surgical Approach Combined With Plantar Tendon Transfer Repairing Neglected Achilles Tendon Rupture Compared to the Conventional Approach of V-Y Tendon Plasty: A Retrospective Study With Two Years Follow-Up

I.S.Mu.L.T. Achilles tendon ruptures guidelines

Early Ankle Mobilization Promotes Healing in a Rabbit Model of Achilles Tendon Rupture

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