The Journal of Bone and Joint Surgery (American). 2007;89:1873.
doi:10.2106/JBJS.8908.ebo3
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Evidence-Based Orthopaedics

Elongation of the Achilles Tendon After Rupture Repair Occurred Slightly Less with Postoperative Early Motion Than with Postoperative Immobilization

Kangas J, Pajala A, Ohtonen P, Leppilahti J. Achilles Tendon Elongation After Rupture Repair: A Randomized Comparison of 2 Postoperative Regimens. Am J Sports Med.2007 ;35:59 -64.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Question: In patients having repair of Achilles tendon ruptures, does early motion or immobilization after surgery reduce Achilles tendon elongation?

Design: Randomized (allocation concealed), unblinded, controlled trial with 60-week follow-up.

Setting: A university hospital in Oulu, Finland.

Patients: 50 patients who were 21 to 55 years of age (mean age 36 y, 92% men) and treated for an acute, complete, closed Achilles tendon rupture. Exclusion criteria included an age of >60 years, a delay in treatment of ≥1 week, systemic or local corticosteroid treatment, a previous Achilles tendon rupture on the contralateral side, and diabetes mellitus.

Intervention: All patients had the same operative repair technique including a central gastrocnemius aponeurosis flap for repairing the . . . [Full Text of this Article]

Annunziato Amendola, MD1

1 University of Iowa Hospitals and Clinics, Iowa City, Iowa


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