Medium Term Outcome of Nonoperative Treatment After Achilles Tendon Rupture.

Medium Term Outcome of Nonoperative Dynamic Treatment of Acute Achilles Tendon Rupture: the Influence of Early Weight-bearing on Clinical Outcome: a Blinded, Randomized Controlled Trial.

A total of 56 patients completed a previous study regarding non-operative treatment for acute achilles tendon rupture. This study consists of an additional follow up after 4-5 years depending on original date of injury.

30 patients suffering from acute Achilles tendon rupture was originally randomized to each arm, and followed up after 6 and 12 months. Of these a total of 56 patients was included in the final analysis, and invited to participate in this additional follow-up, 4-5 years after their original injury. Originally patients was monitored using: ATRS questionnaires, ATRA: Achilles Tendon Resting Angle, Heel Raise Work: number of lifts, lift height and total work, and tests of strength and stiffness in the ankle using a kinetic dynamometer.

Inclusion Criteria:

• Suffered acute Achilles tendon rupture from April 2011 to March 2012, and then referred to Copenhagen University Hospital Hvidovre.
• Participated and completed the original study.
• The patient must be able to speak and understand Danish, as well as be capable to give informed consent to participating.

Exclusion Criteria:

• Terminal disease or serious illnesses with an ASA score of 3 or above.
• Any injury significantly influencing gate and function of the lower extremities other than re-rupture of the Achilles tendon.