title: Rehabilitation after surgical treatment of peroneal tendon tears and ruptures.
abstract: OBJECTIVE
  The purpose of this study was to provide an overview of the available evidence on rehabilitation programmes after operatively treated patients with peroneal tendon tearsand ruptures.
  
  
  METHODS
  A systematic review was performed, and PubMed and EMBASE were searched for relevant studies. Information regarding the rehabilitation programme after surgical management of peroneal tendon tears and ruptures was extracted from all included studies.
  
  
  RESULTS
  In total, 49 studies were included. No studies were found with the primary purpose to report on rehabilitation of surgically treated peroneal tendon tears or ruptures. The median duration of the total immobilization period after primary repair was 6.0 weeks (range 0-12), 7.0 weeks (range 3.0-13) after tenodesis, 6.3 weeks (range 3.0-13) after grafting, and 8.0 weeks (range 6.0-11) after end-to-end suturing. Forty one percent of the studies that reported on the start of range of motion exercises initiated range of motion within 4 weeks after surgery. No difference was found in duration of immobilization or start of range of motion between different types of surgical treatment options.
  
  
  CONCLUSIONS
  Appropriate directed rehabilitation appears to be an important factor in the clinical success of surgically treated peroneal tendon tears and ruptures. There seems to be a trend towards shorter immobilization time and early range of motion, although there is no consensus in the literature on best practice recommendations for optimizing rehabilitation after surgical repair of peroneal tendon tears or ruptures. It is important to adjust the rehabilitation protocol to every specific patient for an optimal rehabilitation.
  
  
  METHODS
  Systematic Review, Level IV.
authors.affiliation: Department of Orthopaedic Surgery, Orthopaedic Research Center Amsterdam, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. p.a.vandijk@amc.uva.nl.|Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands. p.a.vandijk@amc.uva.nl.|Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands. p.a.vandijk@amc.uva.nl.|Foot and Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA. p.a.vandijk@amc.uva.nl.
authors.forename: Pim A D
authors.initials: PA
authors.lastname: van Dijk
authors.affiliation: Foot and Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Bart
authors.initials: B
authors.lastname: Lubberts
authors.affiliation: Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.|Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands.|Orthopaedic Manual Therapy and (Sport)Physiotherapy, ManualFysion, Amsterdam, The Netherlands.
authors.forename: Claire
authors.initials: C
authors.lastname: Verheul
authors.affiliation: Foot and Ankle Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Christopher W
authors.initials: CW
authors.lastname: DiGiovanni
authors.affiliation: Department of Orthopaedic Surgery, Orthopaedic Research Center Amsterdam, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.|Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.|Amsterdam Collaboration on Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands.
authors.forename: Gino M M J
authors.initials: GM
authors.lastname: Kerkhoffs
mesh_terms: D006801:Humans; D019637:Orthopedic Procedures; D011182:Postoperative Care; D012421:Rupture / Q000534:rehabilitation / Q000601:surgery; D013708:Tendon Injuries / Q000534:rehabilitation* / Q000601:surgery*
keywords: Peroneal tendon; Physical therapy; Rehabilitation; Rupture; Tear; Tendon; Tendon healing