Immediate full-weight-bearing mobilisation for repaired Achilles tendon ruptures: a pilot study.
Recent experimental and clinical evidence suggests that early loading and mobilisation for Achilles tendon ruptures may improve functional outcomes. This paper presents the results of a pilot study designed to assess the safety of immediate weight-bearing mobilisation. Twenty-eight operatively repaired patients were randomised to either immediate loading in an orthosis or traditional serial plaster casting. An independent observer, blinded to treatment, assessed the results. Improved clinical, anthropometric, and functional outcomes were noted in the immediate loading group. Ultrasound assessment confirmed no deleterious effects upon the tenodesis. There was one re-rupture of the tendon at a minimum follow-up of 1 year.
UEA Musculo-Skeletal Research Group and Department of Orthopaedics, The Institute of Orthopaedics, The Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK. mattcosta@hotmail.com
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Costa
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Shepstone
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Darrah
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Marshall
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Donell
D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D004434:Early Ambulation / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010865:Pilot Projects; D012421:Rupture; D013708:Tendon Injuries / Q000534:rehabilitation*; D016474:Weight-Bearing