title: Dynamised cast management of Achilles tendon ruptures.
abstract: Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.
authors.affiliation: Addenbrooke's Hospital, Box 37, Clinic 1, Hills Road, CB2 2QQ, Cambridge, UK.
authors.forename: C P
authors.initials: CP
authors.lastname: Roberts
authors.forename: S
authors.initials: S
authors.lastname: Palmer
authors.forename: A
authors.initials: A
authors.lastname: Vince
authors.forename: L J
authors.initials: LJ
authors.lastname: Deliss
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D000886:Anthropometry; D002370:Casts, Surgical; D004434:Early Ambulation; D005260:Female; D006801:Humans; D007103:Immobilization; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D012008:Recurrence; D012189:Retrospective Studies; D012421:Rupture / Q000628:therapy