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Patients with acute achilles tendon rupture will go through an acute ultrasound. Based on the distance between the ends of the tendon the investigators will decide if the patient is going to be treated with or without surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical treatment | Active Comparator | Patients with a distance of 5 mm or more between tendon ends will be treated surgically and with physiotherapy |
|
| Non-surgical treatment | Other | Patients with a distance of less than 5 mm between tendon ends will be treated non-surgically and with physiotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical treatment | Procedure | Se above |
| |
| Non-surgical treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in functional outcome between patients treated surgically and non-surgically | The primary outcome will be a comparison of function by the heel-rise work test developed by Silbernagel et al. This is a validated test which combines both the height of each heel-rise and the number of repetitions. | 3 months |
| Difference in functional outcome between patients treated surgically and non-surgically | The primary outcome will be a comparison of function by the heel-rise work test developed by Silbernagel et al. This is a validated set of tests measuring vertical jump, strength and endurance | 6 months |
| Difference in functional outcome between patients treated surgically and non-surgically | The primary outcome will be a comparison of function by the heel-rise work test developed by Silbernagel et al. This is a validated set of tests measuring vertical jump, strength and endurance | 12 months |
| Difference in functional outcome between patients treated surgically and non-surgically | The primary outcome will be a comparison of function by the heel-rise work test developed by Silbernagel et al. This is a validated set of tests measuring vertical jump, strength and endurance | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasonography (US) | Achilles tendon length - measured using US extended field of view | 6 months |
| Ultrasonography (US) | Achilles tendon length - measured using US extended field of view |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katarina Nilsson Helander, MD Ass Prof. | Sahlgrenska University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Orthopedics | Gothenburg | Västra Götalandsregionen | Sweden |
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| ID | Term |
|---|---|
| D001265 | Athletic Injuries |
| D012421 | Rupture |
| D000208 | Acute Disease |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| Other |
See above |
|
| 12 months |
| Ultrasonography (US) | Achilles tendon length - measured using US extended field of view | 24 months |
| Achilles Tendon Rupture Score (ATRS) | Patient reported outcome measure (PROM) specific for achilles tendon rupture | 3 months |
| Achilles Tendon Rupture Score (ATRS) | Patient reported outcome measure (PROM) specific for achilles tendon rupture. Minimum value 0. Maximum value 100. Higher scores mean better outcome. | 6 months |
| Achilles Tendon Rupture Score (ATRS) | Patient reported outcome measure (PROM) specific for achilles tendon rupture. Minimum value 0. Maximum value 100. Higher scores mean better outcome. | 12 months |
| Achilles Tendon Rupture Score (ATRS) | Patient reported outcome measure (PROM) specific for achilles tendon rupture. Minimum value 0. Maximum value 100. Higher scores mean better outcome. | 24 months |
| Physical Activity Scale (PAS) | PROM to measure overall physical activity. Minimum value 1. Maximum value 6. Higher scores mean a better outcome. | 3 months |
| Physical Activity Scale (PAS) | PROM to measure overall physical activity. Minimum value 1. Maximum value 6. Higher scores mean a better outcome. | 6 months |
| Physical Activity Scale (PAS) | PROM to measure overall physical activity. Minimum value 1. Maximum value 6. Higher scores mean a better outcome. | 12 months |
| Physical Activity Scale (PAS) | PROM to measure overall physical activity. Minimum value 1. Maximum value 6. Higher scores mean a better outcome. | 24 months |