Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon
Purpose: To study the effects of early weightbearing and ankle mobilization after acute repair of ruptured Achilles tendon. Study Design: Comparative longitudinal study. Methods: Patients in group 1 were postoperatively immobilized with their ankle in gravity equinus, they were encouraged to bear we...
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| Veröffentlicht in: | The American journal of sports medicine 2003-09, Vol.31 (5), p.692-700 |
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| creator | Maffulli, Nicola Tallon, Cheryl Wong, Jason Peng Lim, Kim Bleakney, Robert |
| description | Purpose: To study the effects of early weightbearing and ankle mobilization after acute repair of ruptured Achilles tendon.
Study Design: Comparative longitudinal study.
Methods: Patients in group 1 were postoperatively immobilized with their ankle in gravity equinus, they were encouraged to bear weight
on the operated limb as soon as possible to full weightbearing, and they received a single cast change at 2 weeks, with the
ankle accommodated in an anterior splint in a plantigrade position, allowing the ankle to be plantar flexed fully but not
dorsiflexed above neutral. Patients in group 2 were immobilized with their ankle in full equinus with a cast change at 2 weeks,
when the ankle was immobilized in mid equinus, and at 4 weeks, when the ankle was immobilized in a plantigrade position, and
they were advised to bear weight.
Results: Patients in group 1 attended fewer outpatient visits, completely discarded their crutches at an average of 2.5 weeks, and
more were satisfied with the results of surgery. At ultrasonography, the average thickness of the repaired tendon was 12.1
mm, with no difference in the thickness of the ruptured tendon regardless of postoperative management. There was no significant
difference in isometric strength between the two groups.
Conclusions: Early weightbearing with the ankle plantigrade is not detrimental to the outcome of repair after acute rupture of the Achilles
tendon and shortens the time needed for rehabilitation. However, strength deficit and muscle atrophy are not prevented. |
| doi_str_mv | 10.1177/03635465030310051001 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_73652372</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A109844913</galeid><sage_id>10.1177_03635465030310051001</sage_id><sourcerecordid>A109844913</sourcerecordid><originalsourceid>FETCH-LOGICAL-c501t-11550242d3d19570ec61c6cea9bce16f3a5ab80cd7eb166bfdb14e874e3b4ea03</originalsourceid><addsrcrecordid>eNqFkl-L1DAUxYso7rj6DUSKoG_V3KRJ2sdhWP_AyoCs-BjS9HYmYyYZk5Z1_fSmTHFBhH0IgdxfTu65J0XxEsg7ACnfEyYYrwUnjDAghOcFj4oVcE4rxgR_XKxmpJqZi-JZSgeSCSmap8UF0FZyaJpVEa50dHfld7S7_dihjtbvSu37cu1_OCy_hM46-1uPNvhSDyPGcntCX37Fk7axDEO5NtOYOdunqUuj9gbLmyyT5tq4x1zfW-cw5VPfB_-8eDJol_DFsl8W3z5c3Ww-Vdfbj5836-vKcAJjBdkGoTXtWQ8tlwSNACMM6rYzCGJgmuuuIaaX2IEQ3dB3UGMja2RdjZqwy-LtWfcUw88J06iONhl0TnsMU1IyT4gySR8EoaW0bmBWfP0PeAhT9NmEoiCJkIzNatUZ2mmHynoT_Ii_RhPyCHaossXNVq2BtE1dt8AyX595E0NKEQd1ivao450CouaY1f9iztdeLb1M3RH7-0tLrhl4swA6Ge2GmIOx6Z7jIGqgdebgzCWd2_tr6IHHF-19_jO3NqJKR-1cboUpfUgMFFeipewPX_DILQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217067332</pqid></control><display><type>article</type><title>Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><source>Alma/SFX Local Collection</source><creator>Maffulli, Nicola ; Tallon, Cheryl ; Wong, Jason ; Peng Lim, Kim ; Bleakney, Robert</creator><creatorcontrib>Maffulli, Nicola ; Tallon, Cheryl ; Wong, Jason ; Peng Lim, Kim ; Bleakney, Robert</creatorcontrib><description>Purpose: To study the effects of early weightbearing and ankle mobilization after acute repair of ruptured Achilles tendon.
Study Design: Comparative longitudinal study.
Methods: Patients in group 1 were postoperatively immobilized with their ankle in gravity equinus, they were encouraged to bear weight
on the operated limb as soon as possible to full weightbearing, and they received a single cast change at 2 weeks, with the
ankle accommodated in an anterior splint in a plantigrade position, allowing the ankle to be plantar flexed fully but not
dorsiflexed above neutral. Patients in group 2 were immobilized with their ankle in full equinus with a cast change at 2 weeks,
when the ankle was immobilized in mid equinus, and at 4 weeks, when the ankle was immobilized in a plantigrade position, and
they were advised to bear weight.
Results: Patients in group 1 attended fewer outpatient visits, completely discarded their crutches at an average of 2.5 weeks, and
more were satisfied with the results of surgery. At ultrasonography, the average thickness of the repaired tendon was 12.1
mm, with no difference in the thickness of the ruptured tendon regardless of postoperative management. There was no significant
difference in isometric strength between the two groups.
Conclusions: Early weightbearing with the ankle plantigrade is not detrimental to the outcome of repair after acute rupture of the Achilles
tendon and shortens the time needed for rehabilitation. However, strength deficit and muscle atrophy are not prevented.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465030310051001</identifier><identifier>PMID: 12975188</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Achilles tendon ; Achilles Tendon - injuries ; Achilles Tendon - surgery ; Adult ; Aged ; Ankle ; Ankle - physiology ; Ankle injuries ; Biological and medical sciences ; Care and treatment ; Casts, Surgical ; Diseases of the osteoarticular system. Orthopedic treatment ; Female ; Humans ; Immobilization ; Injuries ; Male ; Medical sciences ; Middle Aged ; Muscular Atrophy ; Orthopedic Procedures ; Patient Satisfaction ; Physical Therapy Modalities ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rupture - rehabilitation ; Sports injuries ; Sports medicine ; Surgery ; Tendon injuries ; Tendons ; Treatment Outcome ; Weight-Bearing</subject><ispartof>The American journal of sports medicine, 2003-09, Vol.31 (5), p.692-700</ispartof><rights>2003 American Orthopaedic Society for Sports Medicine</rights><rights>2004 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine Oct 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-11550242d3d19570ec61c6cea9bce16f3a5ab80cd7eb166bfdb14e874e3b4ea03</citedby><cites>FETCH-LOGICAL-c501t-11550242d3d19570ec61c6cea9bce16f3a5ab80cd7eb166bfdb14e874e3b4ea03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465030310051001$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465030310051001$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15164124$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12975188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maffulli, Nicola</creatorcontrib><creatorcontrib>Tallon, Cheryl</creatorcontrib><creatorcontrib>Wong, Jason</creatorcontrib><creatorcontrib>Peng Lim, Kim</creatorcontrib><creatorcontrib>Bleakney, Robert</creatorcontrib><title>Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Purpose: To study the effects of early weightbearing and ankle mobilization after acute repair of ruptured Achilles tendon.
Study Design: Comparative longitudinal study.
Methods: Patients in group 1 were postoperatively immobilized with their ankle in gravity equinus, they were encouraged to bear weight
on the operated limb as soon as possible to full weightbearing, and they received a single cast change at 2 weeks, with the
ankle accommodated in an anterior splint in a plantigrade position, allowing the ankle to be plantar flexed fully but not
dorsiflexed above neutral. Patients in group 2 were immobilized with their ankle in full equinus with a cast change at 2 weeks,
when the ankle was immobilized in mid equinus, and at 4 weeks, when the ankle was immobilized in a plantigrade position, and
they were advised to bear weight.
Results: Patients in group 1 attended fewer outpatient visits, completely discarded their crutches at an average of 2.5 weeks, and
more were satisfied with the results of surgery. At ultrasonography, the average thickness of the repaired tendon was 12.1
mm, with no difference in the thickness of the ruptured tendon regardless of postoperative management. There was no significant
difference in isometric strength between the two groups.
Conclusions: Early weightbearing with the ankle plantigrade is not detrimental to the outcome of repair after acute rupture of the Achilles
tendon and shortens the time needed for rehabilitation. However, strength deficit and muscle atrophy are not prevented.</description><subject>Achilles tendon</subject><subject>Achilles Tendon - injuries</subject><subject>Achilles Tendon - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Ankle</subject><subject>Ankle - physiology</subject><subject>Ankle injuries</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Casts, Surgical</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Female</subject><subject>Humans</subject><subject>Immobilization</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscular Atrophy</subject><subject>Orthopedic Procedures</subject><subject>Patient Satisfaction</subject><subject>Physical Therapy Modalities</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rupture - rehabilitation</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>Tendon injuries</subject><subject>Tendons</subject><subject>Treatment Outcome</subject><subject>Weight-Bearing</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl-L1DAUxYso7rj6DUSKoG_V3KRJ2sdhWP_AyoCs-BjS9HYmYyYZk5Z1_fSmTHFBhH0IgdxfTu65J0XxEsg7ACnfEyYYrwUnjDAghOcFj4oVcE4rxgR_XKxmpJqZi-JZSgeSCSmap8UF0FZyaJpVEa50dHfld7S7_dihjtbvSu37cu1_OCy_hM46-1uPNvhSDyPGcntCX37Fk7axDEO5NtOYOdunqUuj9gbLmyyT5tq4x1zfW-cw5VPfB_-8eDJol_DFsl8W3z5c3Ww-Vdfbj5836-vKcAJjBdkGoTXtWQ8tlwSNACMM6rYzCGJgmuuuIaaX2IEQ3dB3UGMja2RdjZqwy-LtWfcUw88J06iONhl0TnsMU1IyT4gySR8EoaW0bmBWfP0PeAhT9NmEoiCJkIzNatUZ2mmHynoT_Ii_RhPyCHaossXNVq2BtE1dt8AyX595E0NKEQd1ivao450CouaY1f9iztdeLb1M3RH7-0tLrhl4swA6Ge2GmIOx6Z7jIGqgdebgzCWd2_tr6IHHF-19_jO3NqJKR-1cboUpfUgMFFeipewPX_DILQ</recordid><startdate>20030901</startdate><enddate>20030901</enddate><creator>Maffulli, Nicola</creator><creator>Tallon, Cheryl</creator><creator>Wong, Jason</creator><creator>Peng Lim, Kim</creator><creator>Bleakney, Robert</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20030901</creationdate><title>Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon</title><author>Maffulli, Nicola ; Tallon, Cheryl ; Wong, Jason ; Peng Lim, Kim ; Bleakney, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-11550242d3d19570ec61c6cea9bce16f3a5ab80cd7eb166bfdb14e874e3b4ea03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Achilles tendon</topic><topic>Achilles Tendon - injuries</topic><topic>Achilles Tendon - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Ankle</topic><topic>Ankle - physiology</topic><topic>Ankle injuries</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Casts, Surgical</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Female</topic><topic>Humans</topic><topic>Immobilization</topic><topic>Injuries</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscular Atrophy</topic><topic>Orthopedic Procedures</topic><topic>Patient Satisfaction</topic><topic>Physical Therapy Modalities</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rupture - rehabilitation</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>Tendon injuries</topic><topic>Tendons</topic><topic>Treatment Outcome</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maffulli, Nicola</creatorcontrib><creatorcontrib>Tallon, Cheryl</creatorcontrib><creatorcontrib>Wong, Jason</creatorcontrib><creatorcontrib>Peng Lim, Kim</creatorcontrib><creatorcontrib>Bleakney, Robert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maffulli, Nicola</au><au>Tallon, Cheryl</au><au>Wong, Jason</au><au>Peng Lim, Kim</au><au>Bleakney, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2003-09-01</date><risdate>2003</risdate><volume>31</volume><issue>5</issue><spage>692</spage><epage>700</epage><pages>692-700</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Purpose: To study the effects of early weightbearing and ankle mobilization after acute repair of ruptured Achilles tendon.
Study Design: Comparative longitudinal study.
Methods: Patients in group 1 were postoperatively immobilized with their ankle in gravity equinus, they were encouraged to bear weight
on the operated limb as soon as possible to full weightbearing, and they received a single cast change at 2 weeks, with the
ankle accommodated in an anterior splint in a plantigrade position, allowing the ankle to be plantar flexed fully but not
dorsiflexed above neutral. Patients in group 2 were immobilized with their ankle in full equinus with a cast change at 2 weeks,
when the ankle was immobilized in mid equinus, and at 4 weeks, when the ankle was immobilized in a plantigrade position, and
they were advised to bear weight.
Results: Patients in group 1 attended fewer outpatient visits, completely discarded their crutches at an average of 2.5 weeks, and
more were satisfied with the results of surgery. At ultrasonography, the average thickness of the repaired tendon was 12.1
mm, with no difference in the thickness of the ruptured tendon regardless of postoperative management. There was no significant
difference in isometric strength between the two groups.
Conclusions: Early weightbearing with the ankle plantigrade is not detrimental to the outcome of repair after acute rupture of the Achilles
tendon and shortens the time needed for rehabilitation. However, strength deficit and muscle atrophy are not prevented.</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>12975188</pmid><doi>10.1177/03635465030310051001</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The American journal of sports medicine, 2003-09, Vol.31 (5), p.692-700 |
| issn | 0363-5465 1552-3365 |
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Achilles tendon Achilles Tendon - injuries Achilles Tendon - surgery Adult Aged Ankle Ankle - physiology Ankle injuries Biological and medical sciences Care and treatment Casts, Surgical Diseases of the osteoarticular system. Orthopedic treatment Female Humans Immobilization Injuries Male Medical sciences Middle Aged Muscular Atrophy Orthopedic Procedures Patient Satisfaction Physical Therapy Modalities Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rupture - rehabilitation Sports injuries Sports medicine Surgery Tendon injuries Tendons Treatment Outcome Weight-Bearing |
| title | Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon |
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