The Efficacy of Different Rehabilitation Protocols After Achilles Tendon Rupture Surgery
Study Details
Study Description
Brief Summary
This study is a prospective randomized controlled clinical study. After the Achilles tendon rupture repaired , patients were randomly divided into 2 groups, and the rehabilitation protocol was traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring , respectively, to study the difference in efficacy between the groups.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
This prospective randomized controlled clinical study is designed to compare the treatment outcomes of different rehabilitation protocols by dividing the patients into two groups-based on the traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring after a similar suture technique. The inclusion criteria are patients with an acute closed single-legged complete Achilles tendon rupture, and an age of 18 to 60 years. The exclusion criteria are patients with prior Achilles tendon rupture or other situations that affect their lower limb functions or tendon healing (e.g., autoimmune disease, diabetes mellitus, systemic corticosteroid treatment). Other exclusion criteria are an inability to complete our suture technique (e.g., the distance from the rupture site to the Achilles tendon insertion is less than 3.5 cm), or those without rehabilitation or follow-up outcomes. All patients will be treated surgically with the same suture technique.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Traditional rehabilitation protocol Traditional rehabilitation protocol after the surgery will be conducted |
Procedure: Rehabilitation protocol
Rehabilitation protocol after open surgery for Achilles tendon rupture
|
| Active Comparator: Accelerated rehabilitation protocol Accelerated rehabilitation protocol under ultrasonic monitoring after the surgery will be conducted |
Procedure: Rehabilitation protocol
Rehabilitation protocol after open surgery for Achilles tendon rupture
|
Outcome Measures
Primary Outcome Measures
- The time of return to light sports activity [From operation to 1-year follow-up after the surgery]
When the patients are able to do jogging or rapid walk after the surgery, the time will be recorded.
Secondary Outcome Measures
- Range of motion (ROM) recovery time [from operation to 1-year follow-up after the surgery]
The recovery time will be recorded when the ROM is similar to that of the uninjured side.
- Recovery time of the single-legged heel rise height (SHRH) [From operation to 1-year follow-up after the surgery]
The heel rise height is measured as the distance from the ground to the heel when the patient lift the heel while keeping the knee straight. The recovery time is noted when the SHRH is similar to that of the opposite leg.
Other Outcome Measures
- visual analogue scale (VAS) [2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery]
VAS pain score is from 0 to 10, the higher score demonstrate the more severe pain.
- American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score [2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery]
The AOFAS score ranges from 0 to 100, with a healthy hindfoot receiving 100 points.
- the Achilles tendon Total Rupture Score (ATRS) [2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery]
The ATRS includes 10 items; each item has a score ranging between 0 and 10 on a Likert scale, with 100 indicating no major limitations.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
acute closed single-legged complete Achilles tendon rupture .
-
age of 18 to 60 years.
Exclusion Criteria:
-
patients with prior Achilles tendon rupture or other situations that affected their lower limb functions or tendon healing (e.g., autoimmune disease, diabetes mellitus, systemic corticosteroid treatment).
-
an inability to complete our suture technique (e.g., the distance from the rupture site to the Achilles tendon insertion was less than 3.5 cm) .
-
those without rehabilitation or follow-up outcomes.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Peking University Third Hospital | Beijing | Beijing | China |
Sponsors and Collaborators
- Peking University Third Hospital
Investigators
- Study Chair: Jie Qiao, M.D., Peking University Third Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PekingUTH LYCY ATR