Caldwell Jon-Michael E, Vosseller J Turner
Department of Orthopedic Surgery, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, 622 West 168th Street, PH11-Center Wing, New York, NY 10032, USA.
Department of Orthopedic Surgery, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, 622 West 168th Street, PH11-Center Wing, New York, NY 10032, USA.
Foot Ankle Clin. 2019 Sep;24(3):439-445. doi: 10.1016/j.fcl.2019.04.003. Epub 2019 May 18.
Achilles tendon ruptures are devastating injuries to athletes, with return-to-sports rates around 70% and some risk for diminished performance post-injury. Surgical management in athletes is often favored for a number of reasons, although evidence guiding the optimal treatment is limited. Functional rehabilitation has been supported as a key component of operative and nonoperative treatment plans. Return-to-play protocols in the literature are sparse and varied due to often ambiguous definitions of what it means to return to sport and a lack of explicit criteria. Optimal sport-specific return-to-play milestones should be defined to guide the rehabilitation of injured athletes.
跟腱断裂对运动员来说是极具毁灭性的损伤，恢复运动的比例约为70%，且受伤后存在一定的表现下降风险。出于多种原因，运动员的手术治疗通常更受青睐，尽管指导最佳治疗的证据有限。功能康复已被视为手术和非手术治疗方案的关键组成部分。由于对于恢复运动的定义往往模糊不清且缺乏明确标准，文献中的重返比赛方案稀少且各不相同。应确定最佳的特定运动重返比赛里程碑，以指导受伤运动员的康复。
