Suchak Amar A, Spooner Carol, Reid David C, Jomha Nadr M
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Clin Orthop Relat Res. 2006 Apr;445:216-21. doi: 10.1097/01.blo.0000203458.05135.74.
The optimal postoperative rehabilitation protocol after surgical repair of an Achilles tendon rupture is unknown. Although a 6-week cast immobilization is common, many early functional rehabilitation protocols have been implemented. The purpose of this study was to conduct a meta-analysis to determine if an early functional protocol for surgical repair of an acute Achilles tendon rupture improves subjective patient satisfaction without an increase in rerupture rates. Secondary outcomes of interest from an early functional protocol include infections, range of motion, strength, and minor complications. An extensive literature search for randomized or quasirandomized studies identified six trials involving 315 patients. Early functional treatment protocols, when compared with postoperative immobilization, led to more excellent rated subjective responses and no difference in rerupture rate. Our conclusions are based on six trials with small sample sizes, and larger randomized trials are required to confirm these results.
Therapeutic Study, Level II (Systematic review of Level II studies or Level I studies with inconsistent results).
跟腱断裂手术修复后的最佳术后康复方案尚不清楚。虽然通常采用6周的石膏固定，但也实施了许多早期功能康复方案。本研究的目的是进行一项荟萃分析，以确定急性跟腱断裂手术修复的早期功能方案是否能提高患者主观满意度，而不增加再断裂率。早期功能方案的次要关注结果包括感染、活动范围、力量和轻微并发症。对随机或半随机研究进行广泛的文献检索，确定了6项涉及315例患者的试验。与术后固定相比，早期功能治疗方案导致更多优秀评级的主观反应，且再断裂率无差异。我们的结论基于6项样本量较小的试验，需要更大规模的随机试验来证实这些结果。
治疗性研究，II级（对II级研究或结果不一致的I级研究的系统评价）。
