Conservative treatment for acute rupture of the Achilles tendon

Fruensgaard, Søren; Helmig, Peter; Riis, Jess; Støvring, Jørgen

doi:10.1007/bf00182981

Cited by 35 publications

(18 citation statements)

References 20 publications

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“…6,11 Nonetheless, there is no consensus on the immobilisation period for each of the 3 positions. 4,[12][13][14][15] In the current study, most respondents preferred to prescribe below-knee cast immobilisation followed by heel raises after cast removal.…”

Section: Discussionmentioning

confidence: 99%

“…5 The re-rupture rate can be decreased from as high as 35% to 7% by increasing the immobilisation period from 8 to 12 weeks, as most re-ruptures occur within the first few weeks of cast removal. [6][7][8] The re-rupture rates have been reported to be 5% after using a plaster cast or the Sheffield splint, 9 but can be as high as 17% after plaster casting and as low as 0% after functional bracing. 10 We surveyed the practice of orthopaedic consultants in the Greater London area for treating Achilles tendon ruptures.…”

Section: Introductionmentioning

confidence: 99%

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Conservative Treatment for Acute Achilles Tendon Rupture: Survey of Current Practice

Osarumwense

Wright

Gardner

et al. 2013

J Orthop Surg (Hong Kong)

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purpose. To survey the practice of orthopaedic consultants in the Greater London area for treating Achilles tendon ruptures. Methods. 221 orthopaedic consultants working in 28 hospitals within the Greater London area were identified. A questionnaire regarding conservative treatment for acute Achilles tendon ruptures was sent. The choice of immobilisation, the period of immobilisation, the time to weight bearing, the use of heel raises, and the use of diagnostic ultrasonography were enquired about. results. 62 of 86 respondents treated Achilles tendon ruptures conservatively by below-knee casts (n=51), above-knee casts (n=5), or functional braces (n=6). The most common immobilisation regimen (n=7) was to keep the foot in a sequence of an equinus position, a semi-equinus position, and a neutral position (3 weeks in each position). After cast removal, 45 of respondents preferred to use a heel raise for a median duration of 4 (range, 2-36) weeks. Respectively for foot and ankle specialists (n=24) and other orthopaedic specialists (n=38), the median immobilisation period prescribed was 8 (range, 3-13) and 9 (range, 6-36) weeks, respectively (p=0.625), whereas the median time to weight bearing prescribed was 6 (range, 0-9) and 6 (range, 0-12) weeks, respectively (p=0.402). conclusion. Functional bracing was not as widely used as below-knee cast immobilisation. There was no consensus on the optimal immobilisation regimen.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Conservative Treatment for Acute Achilles Tendon Rupture: Survey of Current Practice

Osarumwense

Wright

Gardner

et al. 2013

J Orthop Surg (Hong Kong)

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“…n Immobilization of both the knee and ankle has been the standard method of treatment for Achilles tendon rupture (Stein and Luekens 1976, Lennox et al 1980, Fruensgaard et al 1992. Some investigators have asserted that immobilization of the knee joint is not necessary for treatment (Beskin et al 1987, Carden et al 1987, and recent treatment trends are towards immobilization of only the ankle (Cetti et al 1993, Rantanen et al 1993, Soldatis et al 1997.…”

mentioning

confidence: 99%

Unfavorable effect of knee immobilization on Achilles tendon healing in rabbits

Yasuda

Koshi

Abe

et al. 2000

Acta Orthopaedica Scandinavica

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“…Finally, several authors have recommended using an above the knee cast with a knee flexion to relax the gastrocnemius, which further reduces the gap distance. However, recent studies have indicated that tendon gap distance decreases by only 1 mm with a knee flexion in the order of 30°.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

Chai²,

Liu

et al. 2015

Orthopaedic Surgery

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The aim of this study is to introduce a self-designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation-related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improved our technique using a percutaneous Kirschner wire leverage process before suturing, which can effectively recover the length of the Achilles tendon and ensure the broken ends are in tight contact. With this improvement in technique, we have great confidence that it will become the treatment of choice for acute Achilles tendon ruptures.

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Conservative treatment for acute rupture of the Achilles tendon

Cited by 35 publications

References 20 publications

Conservative Treatment for Acute Achilles Tendon Rupture: Survey of Current Practice

Conservative Treatment for Acute Achilles Tendon Rupture: Survey of Current Practice

Unfavorable effect of knee immobilization on Achilles tendon healing in rabbits

Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

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