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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

J Bone Joint Surg Br

Publication Date

01/2006

Volume

88

Pages

69 - 77

Keywords

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