Troop R L, Losse G M, Lane J G, Robertson D B, Hastings P S, Howard M E
Oasis Sports Medical Group, San Diego, California, USA.
Foot Ankle Int. 1995 Nov;16(11):705-9. doi: 10.1177/107110079501601106.
The purpose of this study was to evaluate the clinical outcome of patients treated with limited immobilization and early motion after repair of acute Achilles tendon ruptures. Thirteen consecutive patients with complete ruptures of the Achilles tendon were identified, repaired, and rehabilitated with early motion starting an average of 10 days after surgery. Active range of motion was begun at an average of 23 days and weightbearing in a walking boot was started at an average of 3.5 weeks after surgery. The average length of follow-up was 27 months. Twelve of 13 patients returned to running activities in an average of 3 months. All 12 patients who participated in lateral motion activities before their injury returned to similar activities in an average of 7 months. The patients rated their overall status at an average of 93% of their preinjury level. Follow-up Cybex testing demonstrated plantarflexion strength averaging 92%, plantarflexion power averaging 88%, and plantarflexion endurance averaging 88% of the nonindexed extremity. Early range of motion after Achilles repair is safe and there is no increased risk of rerupture in compliant patients. The patients achieved good return of plantarflexion strength, power, and endurance.
本研究的目的是评估急性跟腱断裂修复术后采用有限固定和早期活动治疗的患者的临床结局。连续纳入13例跟腱完全断裂的患者，进行修复，并在术后平均10天开始早期活动进行康复治疗。平均在术后23天开始主动活动范围训练，平均在术后3.5周开始穿着步行靴负重。平均随访时间为27个月。13例患者中有12例平均在3个月后恢复跑步活动。所有12例在受伤前参与侧向运动活动的患者平均在7个月后恢复类似活动。患者对其总体状况的评分平均为受伤前水平的93%。随访时的Cybex测试显示，跖屈力量平均为未测量肢体的92%，跖屈功率平均为88%，跖屈耐力平均为88%。跟腱修复术后早期活动范围是安全的，依从性好的患者再次断裂风险不会增加。患者的跖屈力量、功率和耐力恢复良好。
