Acute Unilateral Rupture of the Achilles Tendon
Conditions
Brief summary
Acute rupture of the Achilles tendon is a very frequent sports injury. Surgical repair is the usual treatment in young subjects, and although the optimal technique is still a matter of debate, conventional surgery with a direct approach is still the reference technique in young sportsmen and women. Studies investigating the evolution of ankle muscle strength following surgery for a ruptured Achilles tendon are rare, even though it is a crucial criterion to determine the possibility of returning to the sport. This project thus proposes to study, in comparison with the healthy ankle:(1) the evolution of muscle strength in the flexors/extensors and invertors/evertors of the injured ankle, evaluated using an isokinetic dynamometer, and (2) the evolution of stabilometry parameters, at 6 months, then at 12 months, following surgery for acute unilateral rupture of the Achilles tendon, operated on using the conventional technique in young sportsmen and women and in comparison with the healthy side.
Interventions
OTHERQuestionnaire
Interview concerning the post-operative rehabilitation programme and a functional analysis using the American Orthopaedic Foot and Ankle Society questionnaire
OTHERStatic stabilometry
on a force plate, in a double- then single-foot stance, with the eyes open and then closed
OTHERIsokinetic test
Isokinetic test of the flexors/extensors and invertors/evertors of the ankle
Sponsors
Centre Hospitalier Universitaire Dijon
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* persons informed about the research * sportsmen and women (competition or leisure, practiced \> 3h/week) * Between 18 and 45 years old * First episode of acute traumatic unilateral rupture of the Achilles tendon * Open surgery in the Orthopaedic and Traumatology Department of Dijon University Hospital * Identical post-operative immobilisation programme for 6 weeks * Absence of major post-operative complications delaying the rehabilitation
Exclusion criteria
* persons without national health insurance cover * concomitant joint disease that could be aggravated by the tests * heart disease/contra-indication to effort required during the isokinetic test * management other than open surgery (orthopaedic, functional, percutaneous surgery, …) * Rupture of the contralateral tendon * Contra-indication for the use of the Biodex S4 pro
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle strength | 6 months | measured on the healthy and injured side using an isokinetic dynamometer |
| Postural parameters measured using a stabilometry platform | 6 months | measured using a stabilometry platform |
Countries
France
Outcome results
None listed