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Postoperative rehabilitation after percutaneous Achilles tendon repair : early functional therapy versus cast immobilization

Majewski, M. and Schaeren, S. and Kohlhaas, U. and Ochsner, P. E.. (2008) Postoperative rehabilitation after percutaneous Achilles tendon repair : early functional therapy versus cast immobilization. Disability and rehabilitation, Vol. 30, H. 20-22. pp. 1726-1732.

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Official URL: http://edoc.unibas.ch/dok/A6002936

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Abstract

PURPOSE: To report a comparative study on postoperative management following percutaneous repair of acute Achilles tendon ruptures. METHODS: One hundred and three patients with percutaneous repair after acute Achilles tendon rupture were prospectively entered in our departmental database. Before July 1999, 15 patients were treated postoperatively with below-knee cast immobilization; after July 1999, patients underwent early functional therapy using a special shoe. Patients were seen at 6 weeks, 12 weeks, and 12 months after surgery. Matched pairs were selected based upon gender, age, weight, height, body mass index, and the side involved. The total number of patients consisted of 14 matched pairs. Compared outcomes included clinical evaluation, time away from work, and time before return to sports. RESULTS: Fifteen patients had an objective force reduction compared to the nonoperated side (9 cast group; 6 shoe group). The mean Achilles tendon score was 81 points in the cast group and 88 points in the shoe group. Patients in the cast group had a significantly (p = 0.042) longer time before return to work (67 days) compared to those in the shoe group (37 days). CONCLUSION: Early mobilization in a special shoe is preferable to postoperative immobilization after percutaneous Achilles tendon repair. It provides a good clinical outcome and shortens the time for return to work and sports.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Traumatologie / Orthopädie (Jakob)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Traumatologie / Orthopädie (Jakob)
UniBasel Contributors:Majewski, Martin and Schären, Stefan
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Taylor and Francis
ISSN:0963-8288
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:25 Apr 2014 08:01
Deposited On:25 Apr 2014 08:01

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