Glazebrook Mark, Rubinger Daniela
Queen Elizabeth II Health Sciences Center, Halifax Infirmary (Room 4867), 1796 Summer Street, Halifax, Nova Scotia B3H 3A7, Canada.
Citadel Physiotherapy, 1554 Dresdon Row, Suite 3070, Halifax, Nova Scotia B3J 2X2, Canada.
Foot Ankle Clin. 2019 Sep;24(3):387-398. doi: 10.1016/j.fcl.2019.05.001. Epub 2019 Jun 22.
The use of early functional rehabilitation in the treatment of nonoperative Achilles tendon ruptures has been shown to provide patients with outcomes similar to operative treatments. This article describes a high-quality accelerated functional rehabilitation program that begins with early diagnosis and appropriate patient selection to allow initiation of the nonoperative protocol. Complications with nonoperative treatment of Achilles ruptures are significantly lower than with operative treatment; however, re-rupture and elongation of the tendon resulting in decreased strength are problematic and more common if patients are non-compliant. These can be minimized with good patient education, close supervision, and good communication between physical therapist and physician.
早期功能康复用于治疗非手术治疗的跟腱断裂，已被证明能为患者提供与手术治疗相似的结果。本文描述了一个高质量的加速功能康复计划，该计划从早期诊断和适当的患者选择开始，以便启动非手术方案。跟腱断裂非手术治疗的并发症明显低于手术治疗；然而，如果患者不依从，肌腱再断裂和延长导致力量下降是个问题，且更常见。通过良好的患者教育、密切监督以及物理治疗师与医生之间的良好沟通，这些情况可以降至最低。
