Rehabilitation After Surgical Repair of Acute Achilles Tendon Rupture: Functional Outcome With a Minimum Follow-Up of 6 Months

Röell, Anna E.; Timmers, Tim K.; Ven, Denise J.C. van der; Olden, G.D.J. van

doi:10.1053/j.jfas.2020.09.003

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…Achilles tendon rupture is a subtype of the prevalent tendon injuries [ 1 , 2 ]. Most of the injuries happen in sports exercise, and the prevalence of injuries has been increasing among the sports participants [ 3 , 4 ]. Nowadays, excessive strenuous exercise and repeated local inflammation can lead to the rupture of the Achilles tendon [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…For example, a previous study reported that the quality of healing after conservative treatment is poor, and the possibility of breaking again is also high [ 9 ]. Meanwhile, the side effect of CT is known to be limited, while the recovery period is too long [ 10 ]; the recovery period of MS is relatively short, and the side effect of MS is less obvious compared with OS [ 4 , 11 ]. According to these studies, MS appears to be more conducive to the rupture and healing of the Achilles tendon, with less surgical injury and faster postoperative recovery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Effects of Open Surgery and Minimally Invasive Surgery on the Achilles Tendon Rupture Healing Based on Angiogenesis

Gong

Zhang

et al. 2022

Computational Intelligence and Neuroscience

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Objective. To compare the effect of three different surgical methods on rabbit Achilles tendon rupture. Methods. The Achilles tendon transection model was constructed by cutting off the inner half of the Achilles tendon. Rabbits were divided into 4 groups: model group, open surgery (OS) group, minimally invasive surgery (MS) group, and conservative treatment (CT) group. Biomechanical evaluation, H&E, and Picrosirius Red staining were applied to evaluate the histological changes and healing. RT-qPCR, Western blot, ELISA, and IHC staining were used to detect the expression of COLIII, IL-1β, TNF-α, IL-6, CD31, VEGF, bFGF, and TGF-β1. Results. Different surgery treatments significantly alleviated the histological changes in rabbits. The tension and elasticity of the Achilles tendon were significantly increased after surgery. In addition, surgery treatments notably alleviated the inflammatory responses in vivo via downregulation of IL-1β, TNF-α, and IL-6 and promoted the tube formation in tissues through upregulating VEGF, bFGF, TGF-β1, and CD31. Furthermore, MS exhibited best therapeutic efficiency on Achilles tendon rupture healing, compared with OS or CT. Conclusions. Our research revealed the superiority of MS in Achilles tendon rupture treatment at the molecular level compared with OS or CT.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Effects of Open Surgery and Minimally Invasive Surgery on the Achilles Tendon Rupture Healing Based on Angiogenesis

Gong

Zhang

et al. 2022

Computational Intelligence and Neuroscience

View full text Add to dashboard Cite

show abstract

Paratenon preserving repair of the midsubstance acute Achilles tendon rupture: a systematic review and meta-analysis with best- and worst-case analyses for rerupture rates

Hong,

Seow,

Koh

et al. 2024

Arch Orthop Trauma Surg

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Simple Postoperative Exercise of Acute Achilles Tendon Rupture without Active Range of Motion Exercise

Hwang

Jung

Seo

2023

J Korean Foot Ankle Soc

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Postoperative exercise for acute Achilles tendon rupture is important for a patient's return to daily life and sports. On the other hand, the protocol requires considerable effort to educate patients and continuous checking. This study evaluated the outcome of a new simple and delayed rehabilitation protocol after Achilles tendon rupture repair. Materials and Methods:From July 2014 to November 2020, one hundred eighty-three patients were operated on by one surgeon. The exercise protocol was classified into two methods. One group (immediate protocol, control group) started immediate full weight bearing with a 20° plantar flexion range of motion from two days postoperatively. Ankle dorsiflexion was restricted to 0°. The other group (delayed protocol, case group) started full weight bearing with a controlled ankle motion boot from two weeks postoperatively. No range of motion exercise was allowed until six weeks postoperatively. Age, sex, body mass index, ankle range of motion, muscle power, time to return to previous physical activity, functional score, and complication rate were evaluated. The results of the two groups were compared using a Mann-Whitney test. Statistical significance was set as p<0.05. Results:The range of motion, double heel rising, and one-leg standing were achieved faster in the control group (p<0.05). However, single-heel rising, repeated single-heel rising, return to previous activity (work, run, and sport), and functional scores showed no statistical difference (p>0.05). Conclusion:Simple and delayed postoperative rehabilitation of acute Achilles tendon rupture without active range of motion exercises showed satisfactory functional results and a low complication rate.

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Rehabilitation After Surgical Repair of Acute Achilles Tendon Rupture: Functional Outcome With a Minimum Follow-Up of 6 Months

Cited by 3 publications

References 52 publications

Comparison of the Effects of Open Surgery and Minimally Invasive Surgery on the Achilles Tendon Rupture Healing Based on Angiogenesis

Comparison of the Effects of Open Surgery and Minimally Invasive Surgery on the Achilles Tendon Rupture Healing Based on Angiogenesis

Paratenon preserving repair of the midsubstance acute Achilles tendon rupture: a systematic review and meta-analysis with best- and worst-case analyses for rerupture rates

Simple Postoperative Exercise of Acute Achilles Tendon Rupture without Active Range of Motion Exercise

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