PMID- 35767039
OWN - NLM
STAT- MEDLINE
DCOM- 20230323
LR  - 20230323
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Linking)
VI  - 143
IP  - 4
DP  - 2023 Apr
TI  - Outcomes of early versus late functional weight-bearing after the acute Achilles 
      tendon rupture repair with minimally invasive surgery: a randomized controlled 
      trial.
PG  - 2047-2053
LID - 10.1007/s00402-022-04535-w [doi]
AB  - INTRODUCTION: Optimal postoperative rehabilitation regimen for acute Achilles 
      tendon rupture (AATR) remains unclear. It is important to evaluate whether early 
      functional weight-bearing rehabilitation program after minimally invasive repair 
      results in an earlier return to pre-injury activity but increases the risk of 
      re-rupture. MATERIALS AND METHODS: This was a prospective randomized controlled 
      trial involving 68 AATR patients undergoing minimally invasive surgery. 34 
      patients were enrolled in early weight‑bearing mobilization accelerated 
      rehabilitation group (AR group); 34 patients were enrolled in the traditional 
      rehabilitation (TR) group. Outcomes measures included American Orthopaedic Foot 
      and Ankle Society Score (AOFAS) score and Achilles Tendon Total Rupture Score 
      (ATRS) score before surgery and 3, 6, and 12 months after surgery, incidence rate 
      of Achilles tendon re-rupture and total complications, length of hospital stay, 
      time return to work and sports. RESULTS: There was no significant difference in 
      preoperative basic data between the two groups. However, AOFAS score and ATRS 
      score were better in AR group than TR group at 3 months postoperatively 
      (92.4 +/- 3.5 vs 88.3 +/- 4.5, P < 0.01; 91.1 +/- 4.4 vs 88.9 +/- 3.4, P = 0.03, 
      respectively), the mean length of hospital stay (4.7 +/- 1.5 vs 7.6 +/- 2.0 days, 
      P < 0.01) and time return to work (4.5 +/- 1.0 vs 7.5 +/- 1.6 weeks, P < 0.01) were 
      shorter in AR group than in TR group. No statistical significance was calculated 
      in patient-reported outcomes during the rest of the follow-up time and 
      complications. CONCLUSION: Early accelerated rehabilitation with weight-bearing 
      in patients with AATR after minimally invasive surgery results in better early 
      functional outcomes and shows similar security and feasibility. REGISTRATION NO: 
      ChiCTR2100043398.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Deng, Zhibo
AU  - Deng Z
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Li, Zhi
AU  - Li Z
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Shen, Chen
AU  - Shen C
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Sun, Xianding
AU  - Sun X
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Wang, Ting
AU  - Wang T
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Nie, Mao
AU  - Nie M
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China.
FAU - Tang, Kaiying
AU  - Tang K
AUID- ORCID: 0000-0002-1943-3039
AD  - Center for Joint Surgery, Department of Orthopedic, The Second Affiliated 
      Hospital of Chongqing Medical University, Linjiang Road No.76, Yuzhong District, 
      Chongqing, 400010, China. 304248@hospital.cqmu.edu.cn.
LA  - eng
GR  - 2021MSXM058/Natural Science Foundation Project of Chongqing, Chongqing Science 
      and Technology Commission/
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20220629
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Humans
MH  - *Achilles Tendon/surgery/injuries
MH  - Treatment Outcome
MH  - Prospective Studies
MH  - *Tendon Injuries/surgery/rehabilitation
MH  - Minimally Invasive Surgical Procedures/methods
MH  - Weight-Bearing
MH  - *Ankle Injuries
MH  - Acute Disease
OTO - NOTNLM
OT  - Accelerated rehabilitation
OT  - Acute Achilles tendon rupture
OT  - Panda rope bridge technique
OT  - Traditional rehabilitation
EDAT- 2022/06/30 06:00
MHDA- 2023/03/24 06:00
CRDT- 2022/06/29 11:13
PHST- 2022/01/25 00:00 [received]
PHST- 2022/06/19 00:00 [accepted]
PHST- 2022/06/30 06:00 [pubmed]
PHST- 2023/03/24 06:00 [medline]
PHST- 2022/06/29 11:13 [entrez]
AID - 10.1007/s00402-022-04535-w [pii]
AID - 10.1007/s00402-022-04535-w [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2023 Apr;143(4):2047-2053. doi: 
      10.1007/s00402-022-04535-w. Epub 2022 Jun 29.