title: Novel surgical technique and early kinesiotherapy for acute Achilles tendon rupture.
abstract: BACKGROUND
  This prospective study was performed to investigate the contribution of early kinesiotherapy, the active exercise and movement of the ankle and knee joints, following a novel surgical technique for reconstruction of the acutely ruptured Achilles tendon and the underlying mechanisms involved.
  
  
  METHODS
  One hundred and seven patients with an acute Achilles tendon rupture received postoperative early kinesiotherapy treatment following the novel ``Pa-bone'' surgical technique. Clinical outcomes were evaluated using the Achilles tendon rupture score, a score for measuring outcomes related to symptoms and physical activity, and bilateral ultrasonographic examination of the Achilles tendon.
  
  
  RESULTS
  Range-of-motion recovery equal to the intact side averaged 7~weeks. Double-legged heel rises and sustained single-leg heel rise exercises were possible at an average of 1~week and 60± 2 days, respectively. All patients could perform single-leg heel rise of the injured foot for 60± 23 seconds at an average of 12 weeks. No rerupture was observed. In addition, ultrasonographic examination revealed that the cross-sectional areas of the ruptured tendon were significantly larger than those of the healthy side. Overall reconstruction of the Achilles tendon was obtained for most of the patients.
  
  
  CONCLUSIONS
  Postoperative early kinesiotherapy treatment following Pa-bone surgical technique resulted in excellent clinical outcomes and contributed to the overall reconstruction of the Achilles tendon.
authors.affiliation: Xinjiang Medical University, Urumqi, China.
authors.forename: Jiasharete
authors.initials: J
authors.lastname: Jielile
authors.forename: Gulnur
authors.initials: G
authors.lastname: Sabirhazi
authors.forename: Jiangtao
authors.initials: J
authors.lastname: Chen
authors.forename: Kayrat
authors.initials: K
authors.lastname: Aldyarhan
authors.forename: Jangannuer
authors.initials: J
authors.lastname: Zheyiken
authors.forename: Qin
authors.initials: Q
authors.lastname: Zhao
authors.forename: Jingping
authors.initials: J
authors.lastname: Bai
mesh_terms: D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D011183:Postoperative Complications; D011446:Prospective Studies; D020127:Recovery of Function; D012421:Rupture / Q000628:therapy; D013536:Suture Techniques; D014463:Ultrasonography; D055815:Young Adult