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Combined Conservative and Orthotic Management of Acute Ruptures of the Achilles Tendon

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Wallace, Richard GH, Traynor, Ingrid ER, Kernohan, George and Earnes, Michael HA (2004) Combined Conservative and Orthotic Management of Acute Ruptures of the Achilles Tendon. Journal of Bone and Joint Surgery, 86 (6). pp. 1198-1202. [Journal article]

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URL: http://www.jbjs.org/Issue.aspx?issueID=877&direction=P&journalID=12

Abstract

AbstractBackground: There has been considerable debate about the best treatment for acute rupture of the Achilles tendon. At our institution, a well-documented and structured program of nonoperative management of Achilles tendon rupture with use of casts and a removable orthosis was developed.Methods: We assessed the results in 140 consecutive patients with a complete rupture of the Achilles tendon who had been treated with our nonoperative regimen at our center between 1992 and 1998. Patients were evaluated on the basis of the subjective results and clinically with physiological testing.Results: Overall, 56% of our patients had an excellent result; 30%, good; 12%, fair; and 2%, poor. The overall complication rate was 8%, with three complete and five partial tendon reruptures, two deep vein thromboses, and one temporary dropfoot.Conclusions: The results of our nonoperative orthotic treatment were better overall than published results of operative repair of acute Achilles tendon rupture. Our patients were quite satisfied with their treatment.Level of Evidence: Therapeutic study, Level IV (case series [no, or historical, control group]). See Instructions to Authors for a complete description of levels of evidence.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness
ID Code:20301
Deposited By:Mrs Julie Cummins
Deposited On:25 Oct 2011 13:10
Last Modified:25 Oct 2011 13:10

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