Weight-Bearing in the Nonoperative Treatment of Acute Achilles Tendon Ruptures

2014 ◽  
Vol 96 (13) ◽  
pp. 1073-1079 ◽  
Author(s):  
Simon W Young ◽  
Alpesh Patel ◽  
Mark Zhu ◽  
Stephanie van Dijck ◽  
Peter McNair ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Weight Bearing ◽  
Nonoperative Treatment ◽  
Tendon Ruptures

Operative Versus Nonoperative Treatment of Acute Achilles Tendon Ruptures

1997 ◽  
Vol 7 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Ian K. Y. Lo ◽  
Alexandra Kirkley ◽  
Blake Nonweiler ◽  
Dinesh A. Kumbhare
Keyword(s):  
Achilles Tendon ◽  
Nonoperative Treatment ◽  
Tendon Ruptures

Immediate full-weight-bearing mobilisation for repaired Achilles tendon ruptures: a pilot study

Injury ◽  
2003 ◽  
Vol 34 (11) ◽  
pp. 874-876 ◽  
Author(s):  
M.L. Costa ◽  
L. Shepstone ◽  
C. Darrah ◽  
T. Marshall ◽  
S.T. Donell
Keyword(s):  
Pilot Study ◽  
Achilles Tendon ◽  
Weight Bearing ◽  
Full Weight Bearing ◽  
Tendon Ruptures

Long-Term Results After Functional Nonoperative Treatment of Achilles Tendon Rupture

2006 ◽  
Vol 27 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Tobias M. Hufner ◽  
Dirk B. Brandes ◽  
Hajo Thermann ◽  
Martinus Richter ◽  
Karsten Knobloch ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Achilles Tendon Rupture ◽  
Treatment Protocol ◽  
Nonoperative Treatment ◽  
Long Term Results ◽  
Neutral Position ◽  
Return To Sports ◽  
Sports Activity ◽  
Tendon Ruptures

Background: Nonoperative treatment of complete Achilles tendon ruptures generally involves a long period of cast immobilization and is associated with frequent reruptures. Functional nonoperative treatment of complete Achilles tendon ruptures involves the use of a high-shaft boot with a 3-cm hindfoot elevation, in which physical therapy is begun after 3 weeks of wear. We reviewed our long-term results with this treatment protocol to determine its effectiveness. Methods: The indications for nonoperative treatment, defined by ultrasound, were a distance of 10 mm or less between the tendon ends with the ankle in neutral position and complete apposition of the tendon ends in 20 degrees of plantarflexion. From 1990 to 1996, 168 patients were treated; 125 (74%) were available for followup at a mean of 5.5 (2 to 12.7) years after the injury. Results: Good or excellent results were achieved in 92 (73.5%) with complete rehabilitation and return to sports activity at their pre-injury levels. Satisfactory (9%) and poor results (17.5%) were due to pain in the Achilles tendon region, a lengthened Achilles tendon, markedly reduced strength, or a marked reduction of calf size in 25 patients (76%). Eight patients (6.4%) sustained a rerupture. Conclusions: Functional nonoperative treatment achieved good results in patients who had precise sonographic evaluation and who were compliant. As a result of our study, we modified our protocol: (1) a repeat ultrasound examination is done by an experienced sonographer 2 to 5 days after the first to confirm the indications for nonoperative treatment, (2) the use of the 3-cm hindfoot elevation is extended from 6 to 8 weeks to provide a longer protection of the tendon, and (3) patients then wear shoes with 1-cm hindfoot elevation for another 3 months.

Operative versus nonoperative treatment of acute Achilles tendon ruptures: Long-term study

2017 ◽  
Vol 23 ◽  
pp. 142
Author(s):  
D. Pascoal ◽  
M.S. Santos Silva ◽  
J. Rosa ◽  
M. Marques ◽  
B. Correia ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Nonoperative Treatment ◽  
Term Study ◽  
Long Term Study ◽  
Tendon Ruptures
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