Acute Achilles tendon rupture: minimally invasive surgery versus non operative treatment, with immediate full weight bearing. Design of a randomized controlled trial

Autor: Roderik Metz, Egbert-Jan M M Verleisdonk, Geert J. M. G. van der Heijden, Gino M. M. J. Kerkhoffs
Přispěvatelé: Orthopedic Surgery and Sports Medicine
Rok vydání: 2007
Předmět:
Adult
Male
Restraint
Physical
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Adolescent
medicine.medical_treatment
Achilles Tendon
law.invention
Weight-Bearing
Study Protocol
Postoperative Complications
Patient satisfaction
Rheumatology
Randomized controlled trial
Tendon Injuries
law
Outcome Assessment
Health Care
Secondary Prevention
Humans
Minimally Invasive Surgical Procedures
Medicine
Orthopedic Procedures
Orthopedics and Sports Medicine
Physical Therapy Modalities
Aged
Netherlands
Surgical repair
Clinical Trials as Topic
Achilles tendon
Braces
Rehabilitation
business.industry
Middle Aged
Surgery
Casts
Surgical
medicine.anatomical_structure
Research Design
Orthopedic surgery
Physical therapy
Female
lcsh:RC925-935
Achilles tendon rupture
medicine.symptom
business
Bandage
Zdroj: BMC Musculoskeletal Disorders, Vol 8, Iss 1, p 108 (2007)
BMC Musculoskeletal Disorders
BMC musculoskeletal disorders, 8. BioMed Central
ISSN: 1471-2474
Popis: Background We present the design of an open randomized multi-centre study on surgical versus conservative treatment of acute Achilles tendon ruptures. The study is designed to evaluate the effectiveness of conservative treatment in reducing complications when treating acute Achilles tendon rupture. Methods/Design At least 72 patients with acute Achilles tendon rupture will be randomized to minimally invasive surgical repair followed by functional rehabilitation using tape bandage or conservative treatment followed by functional rehabilitation with use of a functional bracing system. Both treatment arms use a 7 weeks post-rupture rehabilitation protocol. Four hospitals in the Netherlands will participate. Primary end-point will be reduction in complications other than re-rupture. Secondary end-point will be re-rupturing, time off work, sporting activity post rupture, functional outcome by Leppilahti score and patient satisfaction. Patient follow-up will be 12 month. Discussion By making this design study we wish to contribute to more profound research on AT rupture treatment and prevent publication bias for this open-labelled randomized trial. Trial registration ISRCTN50141196
Databáze: OpenAIRE
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