| 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 |
Related Documents
:
|
17852274 - Long-term outcome of superficialis-to-profundus tendon transfer in patients with clench... 12671864 - Early surgical treatment for collateral ligament rupture of metacarpophalangeal joints ... 1742004 - Orthopedic surgery and rehabilitation for the prolongation of brace-free ambulation of ... 11915454 - Ligament reconstruction/tendon interposition arthroplasty for thumb basal joint osteoar... 19089524 - Femoroacetabular impingement treatment using arthroscopy and anterior approach. 16645114 - Non-invasive distal femoral expandable endoprosthesis for limb-salvage surgery in paedi... |
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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: An equinus deformity of the ankle accounts for only a small amount of the increased forefoot plantar...
Next Document: Revision of failed total elbow arthroplasty with use of a linked implant.