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Non-Surgical Treatment of Tendo Achillis Rupture
ROBERT B. LEA; LYMAN SMITH
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From Sherman Hospital, Elgin
1972 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1972; 54:1398-1407 
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Abstract

We have analyzed the results in sixty-six cases of Achilles tendon injury which were treated by a simple non-surgical method. A gravity equinus walking boot cast was applied for eight weeks. The patient then used a 2.5 centimeter heel elevation for four weeks. Resistance exercises were used to build up the triceps surae. The frequent complications in other series of operative repair were discussed. The virtues of this method are that the hazards of anesthesia and open surgery are avoided. The complications of infection, skin slough, and scar formation do not occur, and the patient is spared the expense of hospitalization. Early return to work is a distinct economic advantage. The functional results are as entirely satisfactory as those from operative repair; the cosmetic appearance is much better.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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