Delayed Loading Following Repair of a Ruptured Achilles Tendon

Delayed Loading Following Repair of a Ruptured Achilles Tendon - a Randomized Controlled Trial

The purpose of the study is to investigate if delayed loading following surgical treated Achilles tendon rupture influence the clinical outcome and muscle and tendon structure after one year.

The investigators hypothesize that delaying the gradual introduction of loading in the initial 26 weeks may reduce the heel-rise deficit (primary outcome) and thus improve the clinical outcome one year after surgery (primary endpoint).

Inclusion Criteria:

• Diagnosed with a traumatic, complete mid-substance Achilles tendon
• No contraindications for MRI
• Presented within 14 days from injury
• Adult (18 to 60 years)
• Understand Danish
• Manage transport to/from the hospital on their own

Exclusion Criteria:

• Other injuries affecting their lower limb functions
• Prior Achilles tendon Rupture
• Smoking
• Systemic diseases influencing tendon healing
• Anticoagulation treatment
• Inability to follow rehabilitation or complete follow-ups
• Immunosuppressive treatment including systematic corticosteroid treatment