Dynamised cast management of Achilles tendon ruptures.

Injury

Addenbrooke's Hospital, Box 37, Clinic 1, Hills Road, CB2 2QQ, Cambridge, UK.

Published: June 2001

AI Article Synopsis

  • Non-operative treatment of acute Achilles tendon ruptures within 48 hours can yield similar outcomes to surgical options, based on a study of 49 patients.
  • Patients treated with a dynamised cast showed only one re-rupture case over an average follow-up of 42 months.
  • Overall, patients experienced minimal calf circumference and strength deficits, indicating that this method is effective, well-tolerated, and cost-efficient.

Article Abstract

Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.

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Source
http://dx.doi.org/10.1016/s0020-1383(00)00195-9DOI Listing

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