| Functional management of Achilles tendon rupture: A viable option for non-operative management. | |
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MedLine Citation:
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PMID: 20483140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Functional management of the ruptured Achilles tendon can be effective using orthoses like the removable walker boot (Foam Walker Boot, Air Cast UK Limited, Lincolnshire, United Kingdom). We conducted this study to look at the outcome of our protocol using this orthosis. MATERIALS AND METHODS: We retrospectively reviewed 107 non-operatively managed Achilles tendon ruptures over the last 5 years. Case notes were analyzed for demographics and immediate outcomes. Long term outcomes were assessed by a postal questionnaire using the Achilles Tendon Total Rupture Score (ATRS). RESULTS: Of the 107 tendons (male:female=71:36, mean age=50 years), 105 tendons (98%) healed with an average discharge time of 22 weeks. Six patients reported major complications and 6 reported minor complications. We received 56 questionnaires with a mean ATRS score of 21. Seventy-seven percent returned to pre-injury level of activity. CONCLUSION: Functional management of Achilles tendon rupture, under appropriate supervision, provides a viable option for non-operative management. |
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Authors:
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S Karkhanis; H Mumtaz; N Kurdy |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons Volume: 16 ISSN: 1460-9584 ISO Abbreviation: Foot Ankle Surg Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-20 Completed Date: 2010-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609647 Medline TA: Foot Ankle Surg Country: France |
Other Details:
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Languages: eng Pagination: 81-6 Citation Subset: IM |
Copyright Information:
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Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Trauma & Orthopaedics, University Hospital of South Manchester NHS Trust, Wythenshawe Hospital, Manchester M23 9LT, United Kingdom. salil.karkhanis@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon
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injuries* Ankle Injuries / physiopathology, therapy* Braces* Female Follow-Up Studies Humans Male Middle Aged Orthopedic Procedures / instrumentation* Range of Motion, Articular Retrospective Studies Rupture Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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