Early Motion After Repair of Achilles Tendon Ruptures

Troop, Randal L.; Losse, Gary M.; Lane, Joseph R.; Robertson, D. B.; Hastings, Pamela S.; Howard, Mark

doi:10.1177/107110079501601106

Cited by 42 publications

(39 citation statements)

References 9 publications

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“…4,7,14,15,17,18 In these studies, calf muscle strength has been measured postoperatively in patients with total Achilles tendon ruptures. We have recently, in two prospective studies on patients with chronic Achilles Vol.…”

Section: Discussionmentioning

confidence: 99%

“…10 There are only a few studies on calf muscle strength in patients with Achilles tendon disorders. Calf muscle strength has been measured after rehabilitation in patients with surgically treated complete Achilles tendon ruptures 4,14,15,17 and in patients with complete Achilles tendon ruptures treated either surgically or nonsurgically. 7,18 We have recently, in two prospective studies on middle-aged recreational athletes with chronic Achilles tendinitis/tendinosis, reported the results of surgical treatment followed by 6 weeks of immobilization and of surgical treatment followed by 2 weeks of immobilization.…”

Section: Introductionmentioning

confidence: 99%

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Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis

et al. 1998

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We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes (12 men and 3 women; mean age, 44.3 7.0 years) who had the diagnosis of chronic Achilles tendinosis (degenerative changes) with a long duration of symptoms despite conventional nonsurgical treatment. Calf muscle strength and the amount of pain during activity (recorded on a visual analog scale) were measured before onset of training and after 12 weeks of eccentric training. At week 0, all patients had Achilles tendon pain not allowing running activity, and there was significantly lower eccentric and concentric calf muscle strength on the injured compared with the noninjured side. After the 12-week training period, all 15 patients were back at their preinjury levels with full running activity. There was a significant decrease in pain during activity, and the calf muscle strength on the injured side had increased significantly and did not differ significantly from that of the noninjured side. A comparison group of 15 recreational athletes with the same diagnosis and a long duration of symptoms had been treated conventionally, i.e., rest, nonsteroidal antiinflammatory drugs, changes of shoes or orthoses, physical therapy, and in all cases also with ordinary training programs. In no case was the conventional treatment successful, and all patients were ultimately treated surgically. Our treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis

et al. 1998

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“…7,1o,12,15,18,2o These studies have reported no reruptures (one report of a partial rerupture), but have also reported minor (superficial wound infections, sensory loss, and tendocutaneous adhesions) or major surgical (deep infection and pulmonary embolus) complications. ' , 10,11,12,15,18,19,20 The current study was designed to: 1. evaluate the clinical results of repair of acute ruptures of the Achilles tendon utilizing the triple bundle technique 9,10,16,21 followed by early ankle range of motion exercises, and 2. compare these results to nonoperative cast treatment with delayed ankle range of motion exercises.…”

Section: Introductionmentioning

confidence: 99%

Early Ankle Motion after Triple Bundle Technique Repair vs. Casting for Acute Achilles Tendon Rupture

et al. 2001

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The purpose of our study is to evaluate the triple bundle technique for acute Achilles tendon rupture repair followed by early (at 14 days) postoperative ankle range of motion compared to nonoperative treatment with delayed ankle range of motion. We retrospectively reviewed 73 patients with an acute Achilles tendon rupture treated with either a plantar flexed cast or surgical repair. We found operative treatment reduces immobilization time, allows safe early return to weight-bearing, and diminishes risk of rerupture compared to nonoperative treatment. However, at an average follow-up of greater than 3.5 years, there was no statistical difference in AOFAS hindfoot scores, strength, or patient satisfaction between the two groups. Significant complications were higher in the nonoperative group manifested by three reruptures (7.7%) vs. one deep wound dehiscence in the operative group (3%).

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“…10,27 En nuestro protocolo, la carga y la movilidad se retrasaron, por precaución, en el posoperatorio de los pacientes tratados con técnica percutánea, a diferencia de lo publicado por Amlang y cols. 4 con respecto a la escala funcional de la AOFAS, cretnik y cols.…”

Section: Discussionunclassified

Acute Achilles tendon ruptures treated with minimally invasive Dresden technique

Ulla¹,

Silvestri²,

Fiorentini³

2017

Rev. Asoc. Arg. Ort. y Traumatol

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ResumenIntroducción: Las roturas del tendón de Aquiles son lesiones traumáticas frecuentes. El tratamiento generalmente es quirúrgico. La cirugía puede ser abierta o percutánea. El objetivo de este estudio es evaluar los resultados clínico-funcionales en pacientes con roturas agudas del tendón de Aquiles tratados por técnica mínimamente invasiva de Dresden. Materiales y Métodos: Estudio prospectivo comparativo de 15 casos con roturas agudas del tendón de Aquiles. Se analizaron características del intraoperatorio, la hospitalización, los resultados funcionales y la evaluación de acuerdo con el puntaje de la AOFAS. El seguimiento promedio fue de 18 meses. Resultados: Se mencionan los resultados sobre la base del tiempo quirúrgico, la estadía hospitalaria, el tiempo hasta la cirugía, la carga del peso y el protocolo posoperatorio. El puntaje de la AOFAS a los 5 meses fue 94,66. El retorno a la actividad laboral fue, en promedio, a los 3.53 meses y el retorno a la actividad deportiva, a los 6.53 meses. Conclusiones: La técnica percutánea para la reparación de roturas agudas del tendón de Aquiles es una buena opción, los pacientes tienen una buena evolución y el índice de complicaciones es bajo.Palabras clave: Roturas; tendón de Aquiles; técnica percutánea; Dresden. Nivel de Evidencia: IV Acute Achilles tendon ruptures treated with minimally invasive Dresden technique AbstractIntroduction: The Achilles tendon ruptures are common traumatic injuries. Treatment is usually surgical. Surgery may be open or percutaneous. The aim of this study is to evaluate the clinical and functional outcomes in patients with acute Achilles ruptures treated by minimally invasive Dresden technique. Methods: Prospective study of 15 patients with acute Achilles tendon ruptures. Intraoperative characteristics, hospitalization, functional outcomes and evaluation according to AOFAS score were evaluated. The average follow-up was 18 months. Results: Results are listed based on the surgical time, hospital stay, time to surgery, weight load and postoperative protocol. The AOFAS score at five months was 94.66 points. Patients returned to work at 3.53 months on average and to their sport activities at 6.53 months Conclusions: The percutaneous technique for the repair of acute Achilles tendon rupture is a good choice. Patients have a good outcome and the rate of complications is low.

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Early Motion After Repair of Achilles Tendon Ruptures

Cited by 42 publications

References 9 publications

Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis

Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis

Early Ankle Motion after Triple Bundle Technique Repair vs. Casting for Acute Achilles Tendon Rupture

Acute Achilles tendon ruptures treated with minimally invasive Dresden technique

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