Outcomes of early versus late functional weight-bearing after the acute Achilles tendon rupture repair with minimally invasive surgery: a randomized controlled trial

作者全名："Deng, Zhibo; Li, Zhi; Shen, Chen; Sun, Xianding; Wang, Ting; Nie, Mao; Tang, Kaiying"

作者地址："[Deng, Zhibo; Li, Zhi; Shen, Chen; Sun, Xianding; Wang, Ting; Nie, Mao; Tang, Kaiying] Chongqing Med Univ, Dept Orthoped, Ctr Joint Surg, Linjiang Rd 76, Chongqing 400010, Peoples R China"

通信作者："Tang, KY (通讯作者)，Chongqing Med Univ, Dept Orthoped, Ctr Joint Surg, Linjiang Rd 76, Chongqing 400010, Peoples R China."

来源：ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000818610000006

JCR分区：Q1

影响因子：2.3

年份：2022

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Acute Achilles tendon rupture; Panda rope bridge technique; Accelerated rehabilitation; Traditional rehabilitation

摘要："Introduction Optimal postoperative rehabilitation regimen for acute Achilles tendon rupture (AATR) remains unclear. It is important to evaluate whether early functional weight-bearing rehabilitation program after minimally invasive repair results in an earlier return to pre-injury activity but increases the risk of re-rupture. Materials and methods This was a prospective randomized controlled trial involving 68 AATR patients undergoing minimally invasive surgery. 34 patients were enrolled in early weight-bearing mobilization accelerated rehabilitation group (AR group); 34 patients were enrolled in the traditional rehabilitation (TR) group. Outcomes measures included American Orthopaedic Foot and Ankle Society Score (AOFAS) score and Achilles Tendon Total Rupture Score (ATRS) score before surgery and 3, 6, and 12 months after surgery, incidence rate of Achilles tendon re-rupture and total complications, length of hospital stay, time return to work and sports. Results There was no significant difference in preoperative basic data between the two groups. However, AOFAS score and ATRS score were better in AR group than TR group at 3 months postoperatively (92.4 +/- 3.5 vs 88.3 +/- 4.5, P < 0.01; 91.1 +/- 4.4 vs 88.9 +/- 3.4, P = 0.03, respectively), the mean length of hospital stay (4.7 +/- 1.5 vs 7.6 +/- 2.0 days, P < 0.01) and time return to work (4.5 +/- 1.0 vs 7.5 +/- 1.6 weeks, P < 0.01) were shorter in AR group than in TR group. No statistical significance was calculated in patient-reported outcomes during the rest of the follow-up time and complications. Conclusion Early accelerated rehabilitation with weight-bearing in patients with AATR after minimally invasive surgery results in better early functional outcomes and shows similar security and feasibility. Registration No.: ChiCTR2100043398."

基金机构：Health Commission project [2021MSXM058]; Chongqing science and Technology Commission

基金资助正文：This study was supported by research grants from the Chongqing science and Technology Commission and Health Commission project (2021MSXM058).