Dirk H. Dugan is Orthopedic Surgeon at Orthopedic Surgery and Sports Medicine, 201 Dates Drive, Ithaca, NY 14850.
J Athl Train. 1994 Dec;29(4):349-51.
A 33-year-old man sustained an acute Achilles tendon rupture which was surgically repaired. Early nonweight-bearing range of motion and strengthening of the ankle and the repaired muscle unit was allowed at 4 weeks postoperatively, and closed-chain dorsiflexion was allowed at 6 weeks. Casts and/or ankle-foot orthoses were used to continue protection of the Achilles from reinjury and full body forces as the repaired muscle continued to heal. In this case, range-of-motion and strengthening exercises were initiated at an earlier stage in the treatment program without compromising the result. When indicated, this treatment will provide excellent posttraumatic function of the surgically repaired Achilles tendon in the motivated and compliant patient.
一位 33 岁男性发生急性跟腱断裂，接受了手术修复。术后 4 周开始允许非负重关节活动度练习和踝关节及修复肌肉力量的强化练习，术后 6 周开始允许进行闭合链背屈练习。使用石膏和/或踝足矫形器继续保护跟腱免受再次损伤，并保护修复的肌肉免受全身体力的影响，直至修复的肌肉继续愈合。在这种情况下，在治疗方案的早期开始进行关节活动度和强化锻炼，而不会影响治疗结果。在有适应证的情况下，这种治疗方法将为有动力和依从性的患者提供出色的跟腱修复术后功能。
