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This study is a prospective randomized controlled clinical study. After the Achilles tendon rupture repaired , patients were randomly divided into 2 groups, and the rehabilitation protocol was traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring , respectively, to study the difference in efficacy between the groups.
This prospective randomized controlled clinical study is designed to compare the treatment outcomes of different rehabilitation protocols by dividing the patients into two groups-based on the traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring after a similar suture technique. The inclusion criteria are patients with an acute closed single-legged complete Achilles tendon rupture, and an age of 18 to 60 years. The exclusion criteria are patients with prior Achilles tendon rupture or other situations that affect their lower limb functions or tendon healing (e.g., autoimmune disease, diabetes mellitus, systemic corticosteroid treatment). Other exclusion criteria are an inability to complete our suture technique (e.g., the distance from the rupture site to the Achilles tendon insertion is less than 3.5 cm), or those without rehabilitation or follow-up outcomes. All patients will be treated surgically with the same suture technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional rehabilitation protocol | Experimental | Traditional rehabilitation protocol after the surgery will be conducted |
|
| Accelerated rehabilitation protocol | Active Comparator | Accelerated rehabilitation protocol under ultrasonic monitoring after the surgery will be conducted |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehabilitation protocol | Procedure | Rehabilitation protocol after open surgery for Achilles tendon rupture |
|
| Measure | Description | Time Frame |
|---|---|---|
| The time of return to light sports activity | When the patients are able to do jogging or rapid walk after the surgery, the time will be recorded. | From operation to 1-year follow-up after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion (ROM) recovery time | The recovery time will be recorded when the ROM is similar to that of the uninjured side. | from operation to 1-year follow-up after the surgery |
| Recovery time of the single-legged heel rise height (SHRH) |
| Measure | Description | Time Frame |
|---|---|---|
| visual analogue scale (VAS) | VAS pain score is from 0 to 10, the higher score demonstrate the more severe pain. | 2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery |
| American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang Lv, M.D. | Contact | +8682267010 | lvyang42@126.com | |
| Yuan Cao, M.M. | Contact | +8682267010 | cy6415@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Jie Qiao, M.D. | Peking University Third Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Third Hospital | Recruiting | Beijing | Beijing Municipality | China |
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The heel rise height is measured as the distance from the ground to the heel when the patient lift the heel while keeping the knee straight. The recovery time is noted when the SHRH is similar to that of the opposite leg.
| From operation to 1-year follow-up after the surgery |
The AOFAS score ranges from 0 to 100, with a healthy hindfoot receiving 100 points.
| 2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery |
| the Achilles tendon Total Rupture Score (ATRS) | The ATRS includes 10 items; each item has a score ranging between 0 and 10 on a Likert scale, with 100 indicating no major limitations. | 2, 4, 6, 8, 10, 12, 14, 16, 24, and 48 weeks after the surgery |