Medium Term Outcome of Nonoperative Treatment After Achilles Tendon Rupture.

Conditions

Achilles Tendon Rupture

Keywords

Achilles Tendon Rupture, Conservative treatment, early weight bearing, Dynamic, ATRS, ATRA, Heel Raise Work

Brief summary

A total of 56 patients completed a previous study regarding non-operative treatment for acute achilles tendon rupture. This study consists of an additional follow up after 4-5 years depending on original date of injury.

Detailed description

30 patients suffering from acute Achilles tendon rupture was originally randomized to each arm, and followed up after 6 and 12 months. Of these a total of 56 patients was included in the final analysis, and invited to participate in this additional follow-up, 4-5 years after their original injury. Originally patients was monitored using: ATRS questionnaires, ATRA: Achilles Tendon Resting Angle, Heel Raise Work: number of lifts, lift height and total work, and tests of strength and stiffness in the ankle using a kinetic dynamometer.

Rasmus Kastoft, Kristoffer Weisskirchner Barfod, Jesper Bencke, Merete B. Speedtsberg, Sanja Bay Hansen et al. (6 authors)

Knee Surgery Sports Traumatology Arthroscopy2022-03-027 citations

10.1007/s00167-022-06874-y

Gait Function and Postural Control 4.5 Years After Nonoperative Dynamic Treatment of Acute Achilles Tendon Ruptures

Merete B. Speedtsberg, Rasmus Kastoft, Kristoffer Weisskirchner Barfod, Jeanette Østergaard Penny, Jesper Bencke

Orthopaedic Journal of Sports Medicine2019-06-0125 citations

10.1177/2325967119854324

Early weight-bearing in nonoperative treatment of acute Achilles tendon rupture did not influence mid-term outcome: a blinded, randomised controlled trial

Rasmus Kastoft, Jesper Bencke, Merete B. Speedtsberg, Jeannette Østergaard Penny, Kristoffer Weisskirchner Barfod

Knee Surgery Sports Traumatology Arthroscopy2018-07-2033 citations

10.1007/s00167-018-5058-4

Interventions

BEHAVIORALEarly weight bearing

The intervention implies that the selected patients, will be allowed to bear weight on the injured leg form day 1 while wearing the orthosis, in contrast to the control group, who must wait 6 weaks.

Study design

Observational model

CASE_CONTROL

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

No

Inclusion criteria

* Suffered acute Achilles tendon rupture from April 2011 to March 2012, and then referred to Copenhagen University Hospital Hvidovre. * Participated and completed the original study. * The patient must be able to speak and understand Danish, as well as be capable to give informed consent to participating.

Exclusion criteria

* Terminal disease or serious illnesses with an ASA score of 3 or above. * Any injury significantly influencing gate and function of the lower extremities other than re-rupture of the Achilles tendon.

Design outcomes

Primary

Measure	Time frame	Description
ATRS: Achilles Tendon Rupture Score	approximate 5 years	From initial test 6 and 12 months after injury, and now 4-5 years after.

Secondary

Measure	Time frame	Description
Heel Raise Work	Test is performed once, 4-5 years after the initial injury	The total work (joules), max height of lift (mm) and number of lifts is recorded. THe patient is placed standing on one leg on a platform tilted 10 degrees (heel below toes), and is asked to lift the heel (and thereby bodyweight) as high as possible, once every 2 seconds. When the patient can no longer maintain height or pace, the test is finished.
return to sport and return to work	4-5 years after the initial injury	When did the patients return to work full or part time, and when did they take up sports again.

Countries

Denmark

Outcome results

None listed