Document Detail


Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis.
MedLine Citation:
PMID:  16365124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed two independent, randomised, controlled trials in order to assess the potential benefits of immediate weight-bearing mobilisation after rupture of the tendo Achillis. The first trial, on operatively-treated patients showed an improved functional outcome for patients mobilised fully weight-bearing after surgical repair. Two cases of re-rupture in the treatment group suggested that careful patient selection is required as patients need to follow a structured rehabilitation regimen. The second trial, on conservatively-treated patients, provided no evidence of a functional benefit from immediate weight-bearing mobilisation. However, the practical advantages of immediate weight-bearing did not predispose the patients to a higher complication rate. In particular, there was no evidence of tendon lengthening or a higher re-rupture rate. We would advocate immediate weight-bearing mobilisation for the rehabilitation of all patients with rupture of the tendo Achillis.
Authors:
M L Costa; K MacMillan; D Halliday; R Chester; L Shepstone; A H N Robinson; S T Donell
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  88     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-20     Completed Date:  2006-04-04     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  69-77     Citation Subset:  AIM; IM    
Affiliation:
School of Medicine, The University of East Anglia, Norwich NR4 7TJ, Norfolk, UK. mattcosta@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Achilles Tendon / injuries*
Adult
Aged
Algorithms
Early Ambulation*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Care / methods
Rupture / rehabilitation,  surgery,  therapy
Single-Blind Method
Sports
Tendon Injuries / rehabilitation*,  surgery,  therapy
Walking
Weight-Bearing / physiology*
Comments/Corrections
Comment In:
J Bone Joint Surg Am. 2006 Aug;88(8):1894   [PMID:  16882926 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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