Assessment of Functional Conservative Treatment of Acute Complete Achilles Tendon Rupture.

This research examines a functional protocol for treating acute complete Achilles tendon ruptures and assesses its outcomes, finding that the protocol provides good functional results despite some muscle wasting and weakness.

Overview of the Study

• The study focuses on the rapid changes in treatment for Achilles tendon rupture (ATR) over the years. Historically, the conservative non-weight bearing approach was the standard, however, currently, a functional protocol is employed.
• This functional protocol lets patients bear weight fully only two weeks after the injury. This is achieved by placing the patient’s foot in a plastic boot, adjusted to a down-tapered equine setup, and using interchangeable heel wedges.
• This dramatic change in treatment protocol has been reported to significantly decrease the re-rupture rate.

Methods and Procedure

• The study took into account a group of 15 individuals for evaluation. This assessment was done both clinically and through sonography.
• The researchers took measurements of the calf circumference, examined the range of motion (ROM) of the ankle joint, and conducted single-leg heel-rise test (SLHRT).
• The study also used standard scoring systems such as the Achilles Tendon Rupture Score and the Physical Activity Scale to scrutinize the subjects.

Research Findings

• In the research group, 14 out of 15 subjects were able to successfully complete the single-leg heel-rise test.
• The average scores from the functional questionnaires were 85.6 out of 100 on the Achilles Tendon Rupture Score, and 4.7 out of 6 on the Physical Activity Scale.
• There were no significant differences in the range of motion of the ankle when compared to the uninjured limb. However, there was a statistically significant reduction observed in the calf circumference and soleus muscle thickness.

Conclusion

• According to the research, it is evident that the functional conservative treatment of ATR results in good functional outcomes, with patients generally making a return to close to normal activity.
• Although there is noted muscle wasting and weakness, the functional protocol for ATR treatment presents as a valid alternative to surgery. The researchers therefore recommend this method for the treatment of most non-insertional Achilles tendon tears.