Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

We performed two independent, randomised, controlled trials in order to assess the potential benefits of immediate weight-bearing mobilisation after rupture of the tendo Achillis. The first trial, on operatively-treated patients showed an improved functional outcome for patients mobilised fully weight-bearing after surgical repair. Two cases of re-rupture in the treatment group suggested that careful patient selection is required as patients need to follow a structured rehabilitation regimen. The second trial, on conservatively-treated patients, provided no evidence of a functional benefit from immediate weight-bearing mobilisation. However, the practical advantages of immediate weight-bearing did not predispose the patients to a higher complication rate. In particular, there was no evidence of tendon lengthening or a higher re-rupture rate. We would advocate immediate weight-bearing mobilisation for the rehabilitation of all patients with rupture of the tendo Achillis.

Original publication

DOI

10.1302/0301-620x.88b1.16549

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

01/2006

Volume

88

Pages

69 - 77

Addresses

School of Medicine, The University of East Anglia, Norwich NR4 7TJ, Norfolk, UK. mattcosta@hotmail.com

Keywords

Achilles Tendon, Humans, Rupture, Tendon Injuries, Walking, Postoperative Care, Early Ambulation, Follow-Up Studies, Single-Blind Method, Algorithms, Weight-Bearing, Sports, Adult, Aged, Middle Aged, Female, Male