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J Bone Joint Surg Br. 2006 Jan;88(1):69-77.

Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis.

Author information

1
School of Medicine, The University of East Anglia, Norwich NR4 7TJ, Norfolk, UK. mattcosta@hotmail.com

Abstract

We performed two independent, randomised, controlled trials in order to assess the potential benefits of immediate weight-bearing mobilisation after rupture of the tendo Achillis. The first trial, on operatively-treated patients showed an improved functional outcome for patients mobilised fully weight-bearing after surgical repair. Two cases of re-rupture in the treatment group suggested that careful patient selection is required as patients need to follow a structured rehabilitation regimen. The second trial, on conservatively-treated patients, provided no evidence of a functional benefit from immediate weight-bearing mobilisation. However, the practical advantages of immediate weight-bearing did not predispose the patients to a higher complication rate. In particular, there was no evidence of tendon lengthening or a higher re-rupture rate. We would advocate immediate weight-bearing mobilisation for the rehabilitation of all patients with rupture of the tendo Achillis.

PMID:
16365124
DOI:
10.1302/0301-620X.88B1.16549
[Indexed for MEDLINE]

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