ArticleFoot & ankle international2022
Slowed-Down Rehabilitation Following Percutaneous Repair of Achilles Tendon Rupture.
Article in Foot & ankle international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Comparative analysis of different mobility aids in the early accelerated rehabilitation phase following acute achilles tendon repair surgery: a prospective cohort study.Journal of orthopaedic surgery and research · 2026Trial
- Letter to the Editor: Re-rupture is not the only failure: tendon elongation and the 6-week nonoperative protocol for Achilles tendon rupture.Acta orthopaedica · 2026Article
- Reconstruction of chronic Achilles tendon ruptures using a doubled peroneus longus tendon free graft and interference screw fixation: a technical note.Journal of orthopaedic surgery and research · 2026Article
- Letter Regarding "Dual-Incision Achilles Tendon Repair Using Krackow Sutures With Over-the-Top Knot Placement for Early Rehabilitation Without Immobilization: A Retrospective Case Series".Foot & ankle orthopaedics · 2026Article
- All-inside endoscopic and minimally invasive modified Bunnell suture yield favourable outcomes in acute midsubstance Achilles tendon ruptures: a comparative study.Journal of orthopaedic surgery and research · 2026Article
- Comparison of Dominant and Non-Dominant Muscle Function Recovery and Limb Symmetry After Achilles Tendon Repair: A Retrospective Study.Journal of clinical medicine · 2026Article
- Knotted or knotless? Efficacy analysis of the percutaneous Achilles repair system (PARS) for acute Achilles tendon ruptures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- The short-term clinical effects of accelerated rehabilitation following open surgery for acute Achilles tendon rupture based on ultrasonography monitoring: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Biomechanical comparison of tendon repair techniques: Bunnell suture leads in mode of failure and minimally invasive configuration in elongation.Journal of experimental orthopaedics · 2025Article
- The option of transosseous distal suture placement during minimally invasive Achilles tendon repair for high-risk patients can improve outcomes, however does not prevent re-rupture.BMC musculoskeletal disorders · 2024Article
- Differential elongation of the gastrocnemius after Achilles tendon rupture: a novel technique of selective shortening to treat push-off weakness with case series and literature review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Review
- Percutaneous cruciate repair of ruptured Achilles tendon.Journal of orthopaedic surgery and research · 2023Article
- Minimally invasive excision and reconstruction of Achilles tendon xanthoma using free autologous semitendinosus tendon transfer: a surgical technique.Journal of orthopaedic surgery and research · 2023Article
- Global trends in research of achilles tendon injury/rupture: A bibliometric analysis, 2000-2021.Frontiers in surgery · 2023Article
- Pre-injury performance is most important for predicting the level of match participation after Achilles tendon ruptures in elite soccer players: a study using a machine learning classifier.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundFollowing percutaneous repair of acute Achilles tendon (AT) ruptures, early postoperative weightbearing is advocated; however, it is debatable how aggressive rehabilitation should be. We compared the clinical and functional outcomes in 2 groups of patients who followed either our "traditional" or a "slowed down" rehabilitation after percutaneous surgical repair.
methodsSixty patients were prospectively recruited to a slowed down (29 patients) or a traditional (31 patients) rehabilitation program. Both groups were allowed immediate weightbearing postoperatively; a removable brace with 5 heel wedges was applied at 2 weeks. In the slowed-down group, 1 wedge was removed after 4 weeks. Gradual removal of the boot took place after 4 wedges were kept for 4 weeks. In the traditional group, 1 wedge was removed every 2 weeks, with removal of the boot after 2 wedges had been kept for 2 weeks. The AT Resting Angle (ATRA) evaluated tendon elongation. Patient reported functional outcomes were assessed using the AT Rupture Score (ATRS). Calf circumference difference and the isometric plantarflexion strength of the gastro-soleus complex were evaluated.
resultsAt the 12-month follow-up, both ATRA and ATRS were more favorable in the slowed-down group. The isometric strength and the calf circumference were more similar to the contralateral leg in the slowed-down group than in the traditional one.
conclusionFollowing percutaneous repair of acute Achilles tendon patients undergoing slowed down rehabilitation performed better than the traditional one. These conclusions must be considered within the limitations of the present study. LEVEL OF EVIDENCE: Level II, prospective comparative study.
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