Post-operative bracing following repair of the Achilles tendon Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Mid-substance Achilles tendon rupture, diagnosed clinically by the presence of a palpable gap to the Achilles tendon, and increased Achilles Tendon Resting Angle and a calf squeeze test 2. Aged 18-65 years 3. Presenting <15 days following rupture 4. Able to understand the spoken and written English language 5. After consultation wishes to have operative repair of the Achilles tendon rather than non-operative management 6. Available for 12 months follow up at Shrewsbury and Telford Hospital NHS Trust
Exclusion criteria
Exclusion criteria: 1. Distal Achilles tendon rupture, identified by palpation of the distal stump ending 110 kg and BMI >30 kg/m² owing to obesity giving an increased risk of wound, cast and functional brace complications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tendon elongation measured using the Heel-Rise Height Index (HRHI), comparing maximal the sustained heel-rise of the injured side to the non-injured side at 12 months following repair | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at 3, 6, 9 and 12 months following repair: 1. Tendon length measured using the Achilles Tendon Resting Angle (ATRA) 2. Symptoms and function measured using the Achilles tendon Total Rupture Score (ATRS) 3. Work and sports activities assessed using the Tegner Score | — |
Countries
England, United Kingdom