The non-operative functional management of patients with a rupture of the tendo Achillis leads to low rates of re-rupture
| Autor: | Alr Michael, Gavin Heyes, R. G. H. Wallace |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Orthotic Devices medicine.medical_specialty Adolescent Re rupture Achilles Tendon Young Adult Delayed presentation Recurrence Tendon Injuries Humans Medicine Orthopedics and Sports Medicine Young adult Child Aged Aged 80 and over Rupture business.industry Treatment method Mean age Middle Aged Orthotic device Surgery Early Diagnosis Treatment Outcome Male patient Athletic Injuries Female Presentation (obstetrics) business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :1362-1366 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.93b10.26187 |
| Popis: | Controversy surrounds the most appropriate treatment method for patients with a rupture of the tendo Achillis. The aim of this study was to assess the long term rate of re-rupture following management with a non-operative functional protocol. We report the outcome of 945 consecutive patients (949 tendons) diagnosed with a rupture of the tendo Achillis managed between 1996 and 2008. There were 255 female and 690 male patients with a mean age of 48.97 years (12 to 86). Delayed presentation was defined as establishing the diagnosis and commencing treatment more than two weeks after injury. The overall rate of re-rupture was 2.8% (27 re-ruptures), with a rate of 2.9% (25 re-ruptures) for those with an acute presentation and 2.7% (two re-ruptures) for those with delayed presentation. This study of non-operative functional management of rupture of the tendo Achillis is the largest of its kind in the literature. Our rates of re-rupture are similar to, or better than, those published for operative treatment. We recommend our regime for patients of all ages and sporting demands, but it is essential that they adhere to the protocol. |
| Databáze: | OpenAIRE |
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