JBJS | Elongation of the Achilles Tendon After Rupture Repair Occurred Slightly Less with Postoperative Early Motion Than with Postoperative Immobilization

The Journal of Bone & Joint Surgery, Volume 89, Issue 8

Evidence-Based Orthopaedics | August 01, 2007

Elongation of the Achilles Tendon After Rupture Repair Occurred Slightly Less with Postoperative Early Motion Than with Postoperative Immobilization

The Journal of Bone & Joint Surgery. 2007; 89:1873-1873 doi:10.2106/JBJS.8908.ebo3

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Question: In patients having repair of Achilles tendon ruptures, does early motion or immobilization after surgery reduce Achilles tendon elongation?Design: Randomized (allocation concealed), unblinded, controlled trial with 60-week follow-up.Setting: A university hospital in Oulu, Finland.Patients: 50 patients who were 21 to 55 years of age (mean age 36 y, 92% men) and treated for an acute, complete, closed Achilles tendon rupture. Exclusion criteria included an age of >60 years, a delay in treatment of =1 week, systemic or local corticosteroid treatment, a previous Achilles tendon rupture on the contralateral side, and diabetes mellitus.

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immobilization ; rupture ; achilles tendon lengthening

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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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