Turan Bilge KIZKAPAN, Sinan OĞUZKAYA, Gökay EKEN, Seçkin BAŞILGAN

6184

Comparison of clinical and quality of life outcomes of patients who underwent early postoperative rehabilitation and cast immobilization after Achilles tendon repair

The aim of this study is to compare early postoperative rehabilitation (EPR) and six weeks cast immobilization protocols after Achilles tendon (AT) repair. 44 patients who underwent AT repair for acute rupture were included in the study. 25 patients in Group 1 underwent six weeks cast immobilization, and 19 patients in Group 2 underwent early rehabilitation following surgery. Demographic findings, other systemic diseases, the time duration between injury and surgery, follow-up time, complications, time to return to work, re-rupture, injury mechanism, AOFAS, ATRS, and SF-36 subscales were all evaluated. The mean follow-up period was 10.7 ± 2.50 (range 7 to 19) months. Return to work time and the number of complications was significantly higher in Group 1 (p

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Gross CE, Nunley, JA. Acute Achilles tendon ruptures. Foot Ankle Int. 2016;37:233-9.

Rhiaz JK, Khan RH, Fick D. Treatment of Achilles tendon ruptures. J Bone Joint Surg Am. 2015;87:2202-10.

Yang, X, Meng, H, Quan, Q, et al. Management of acute Achilles tendon ruptures: a review. Bone Joint Res. 2018;7:561-9.

Okoroha KR, Ussef N, Jildeh TR, et al. Comparison of tendon lengthening with traditional versus accelerated rehabilitation after Achilles tendon repair: A prospective randomized controlled trial. Am J Sports Med. 2020;48:1720-6.

Majewski M, Schaeren S, Kohlhaas U, et al. Postoperative rehabilitation after percutaneous Achilles tendon repair: Early functional therapy versus cast immobilization. Disabil Rehabil. 2008;30:1726-32.

Suchak AA, Bostick GP, Beaupré L A, et al. The influence of early weightbearing compared with non-weight-bearing after surgical repair of the Achilles tendon. JBJS. 2008;90:1876-83.

Speck M, Klaue K. Early full weight bearing and functional treatment after surgical repair of acute Achilles tendon rupture. Am J Sports Med. 1998;26:789-93.

Jielile J, Badalihan A, Qianman B, et al. Clinical outcome of exercise therapy and early postoperative rehabilitation for treatment of neglected Achilles tendon rupture: a randomized study. Knee Surg Sports Traumatol Arthrosc. 2016;24:2148-55.

Barfod KW., Hansen MS, Hölmich P, et al. Efficacy of early controlled motion of the ankle compared with immobilisation in non-operative treatment of patients with an acute Achilles tendon rupture: an assessorblinded, randomised controlled trial. Br J Sports Med. 2020;54:719-24.

Krackow KA, Thomas SC, Jones LC. Ligament-tendon fixation: analysisof a new stitch and comparison with standard techniques. Orthopedics. 1998;11:909-17.

Mutlu EK, Celik D, Kilicoglu O, et al. The Turkish version of the Achilles tendon Total Rupture Score: Cross-cultural adaptation, reliability and validity. Knee Surg, Sports Traumatol, Arthrosc. 2015;23:2427-32.

Akbaba YA, Celik D, Ogut RT. Translation, cross-cultural adaptation, reliability, and validity of Turkish version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. J Foot Ankle Surg. 2016;55:1139- 42.

Demiral Y, Ergor G, Unal B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC public health. 2006;6:247.

Suchak AA, Spooner C, Reid DC, et al. Postoperative rehabilitation protocols for Achilles tendon ruptures: a meta-analysis. Clin Orthop Relat Res. 2006;445:216-21.

Twaddle BC, Poon P. Early motion for Achilles tendon ruptures: Is surgery important? A randomized, prospective study. Am J Sports Med. 2007;35: 2033-8.

Nilsson-Helander K, Silbernagel KG, Thomee R, et al. Acute Achilles tendon rupture: a randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures. Am J Sports

Willits K, Amendola A, Bryant D, et al. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010;92:2767-75.

Maquirriain, J. Achilles tendon rupture: avoiding tendon lengthening during surgical repair and rehabilitation. Yale J Biol Med. 2011;84:289.

Aufwerber S, Heijne A, Edman G, et al. Does early functional mobilization affect long-term outcomes after an Achilles tendon rupture? A randomized clinical trial. Orthop J Sports Med. 2020;8:2325967120906522.20. Kangas J, Pajala A, Siira P, et al. Early functional treatment versus early immobilization in tension of the musculotendinous unit after Achilles rupture repair: A prospective, randomized, clinical study. J Trauma. 2003;54:1171-80.

Mark-Christensen T, Troelsen A, Kallemose T, et al. Functional rehabilitation of patients with acute Achilles tendon rupture: A meta-analysis of current evidence. Knee Surg Sports Traumatol Arthrosc. 2016;24:1852-9.

Lantto I, Heikkinen J, Flinkkila T, et al. Early functional treatment versus cast immobilization in tension after Achilles rupture repair: results of a prospective randomized trial with 10 or more years of follow-up. Am J Sports Med. 2015;43:2302-9.

Zhao JG, Meng XH, Liu L, et al. Early functional rehabilitation versus traditional immobilization for surgical Achilles tendon repair after acute rupture: a systematic review of overlapping meta-analyses. Sci Rep. 2017;7:1-7.

Arslan A, Cepni SK, Sahinkaya T, et al. Functional outcomes of repair of Achilles tendon using a biological open surgical method. Acta Orthop Traumatol Turc. 2014;48:563-9.

. Holm C, Kjaer M, Eliasson P. Achilles tendon rupture--treatment and complications: a systematic review. Scand J Med Sci Sports. 2015;25:e1- 10.

. Eliasson P, Andersson T, Aspenberg P. Achilles tendon healing in rats is improved by intermittent mechanical loading during the inflammatory phase. J Orthop Res. 2012;30:274-9.

Schepull T, Aspenberg P. Early controlled tension improves the material properties of healing human achilles tendons after ruptures: A randomized trial. Am J Sports Med. 2013;41:2550-7.

. Sevimli R, Aslanturk O, Ergen E, et al. Mid-Term outcomes of arthroscopic treatment in patients with a stiff elbow. Cureus. 2018;10:e2630.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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Comparison of clinical and quality of life outcomes of patients who underwent early postoperative rehabilitation and cast immobilization after Achilles tendon repair

Turan Bilge KIZKAPAN, Sinan OĞUZKAYA, Gökay EKEN, Seçkin BAŞILGAN