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ToolsCosta, M. L., MacMillan, K., Halliday, D. A., Chester, R., Shepstone, L., Robinson, A. H. N. and Donell, S. T. (2006) Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis. Journal of Bone and Joint Surgery-British, 88 (1). pp. 69-77.
Full text not available from this repository. (Request a copy)Abstract
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.
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