Achilles Tendon Rupture
Conditions
Keywords
achilles tendon rupture, nonoperative treatment, functional rehabilitation, operative treatment, biomechanical measurements
Brief summary
A prospective, non-randomised, observational study to investigate the clinical and biomechanical outcomes and prevalence of reruptures after operative or nonoperative treatment of acute achilles tendon rupture.
Interventions
PROCEDUREOperative treatment
Open surgical repair of tendon rupture
PROCEDURENonoperative treatment
Nonoperative treatment with lower leg orthosis and functional rehabilitation
Sponsors
University of Jyvaskyla
Central Finland Hospital District
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* acute achilles tendon rupture with clear onset of symptoms * closed rupture * resides in the catchment area of our hospital district
Exclusion criteria
* avulsion fractures in the calcaneus * unwillingness to participate * inability to communicate using Finnish language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rerupture rate | 1 year | Rate rerupture of a healed tendon after the end of the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Achilles tendon rupture score (ATRS) | 1 year | Achilles tendon rupture score 1 year after the rupture |
| Functional Score | 1 year | Leppilahti score measuring subjective and objective functional outcome 1 year after the rupture on a scale 0-100. |
| Foot inversion | 1 year | Foot inversion angle in rest |
| Foot flexion-extension | 1 year | Foot flexion-extension angle in rest |
| Heel-raise test | 1 year | One leg heel-raise test while standing |
| Physical Activity Level | 1 year | Patient activity 1 year after the rupture using the Tegner activity level scale which varies from 0 to 10. This scale that aims to provide a standardized method of grading work and sporting activities. |
| University of California, Los Angeles (UCLA) score | 1 year | Patient activity 1 year after the rupture |
Other
| Measure | Time frame | Description |
|---|---|---|
| Tendon length | 1 year | Achilles tendon length using ultrasound |
| Research ANd Development (RAND-36) quality of life | 1 year | Measurement of quality of life using RAND-36 questionnaire |
| Muscle strength | 1 year | Isometric plantar flexion strength |
| Gastrocnemius muscle cross-sectional area | 1 year | Lateral and medial gastrocnemius and soleus muscle area using ultrasound |
Countries
Finland
Outcome results
None listed