Harvard
Kastoft, R, Bencke, J, Speedtsberg, MB, Penny, JØ & Barfod, K 2019, '
Early weight-bearing in nonoperative treatment of acute Achilles tendon rupture did not influence mid-term outcome: a blinded, randomised controlled trial'
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, bind 27, nr. 9, s. 2781-2788.
https://doi.org/10.1007/s00167-018-5058-4
APA
Kastoft, R., Bencke, J., Speedtsberg, M. B., Penny, J. Ø., & Barfod, K. (2019).
Early weight-bearing in nonoperative treatment of acute Achilles tendon rupture did not influence mid-term outcome: a blinded, randomised controlled trial.
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA,
27(9), 2781-2788.
https://doi.org/10.1007/s00167-018-5058-4
CBE
MLA
Vancouver
Author
Bibtex
@article{42b3e43c983341f1b116424add730122,
title = "Early weight-bearing in nonoperative treatment of acute Achilles tendon rupture did not influence mid-term outcome: a blinded, randomised controlled trial",
abstract = "PURPOSE: Acute Achilles tendon rupture leads to impaired outcome at short term, but little is known concerning medium-term results. The aim of the present study was to investigate the influence of early weight-bearing on clinical outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture.METHOD: The study was performed as a medium-term follow-up on patients included in a randomised controlled trial. Both groups were treated with nonoperative management and controlled early motion. The intervention group was allowed full weight-bearing from day 1, and the control group was non-weight-bearing for 6 weeks. 60 patients were randomised 1:1. Of those, 56 were eligible for inclusion in the medium-term follow-up and 37 participated (18 control, 19 intervention). The outcomes were Achilles tendon Total Rupture Score (ATRS) and heel raise work performed at an average of 4.5 years after the initial injury. Statistical analysis was performed using paired t tests and linear regression.RESULTS: No differences were found between control and intervention groups at 4.5 years. ATRS scores consistently improved in both the intervention and the control groups from 0.5 to 1 year and from 1 to 4.5 years, ending up at 80.5 on average after 4.5 years. Heel raise height kept improving from 0.5 to 4.5 years, reaching a limb symmetry index of 82.4{\%}. The heel raise work improvement from 0.5 to 1 year did not continue. No significant change was found from 1 to 4.5 years, ending at a limb symmetry index of 60{\%}.CONCLUSION: Early weight-bearing did not influence outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture. The calf muscle of the injured limb performs 40{\%} less work, when compared to the healthy limb, though lifting height recovers better.LEVEL OF EVIDENCE: II.CLINICAL TRIALS IDENTIFIER: NCT02760784.",
keywords = "ATRS, Achilles Tendon Total Rupture Score, Achilles tendon rupture, Conservative, Early weight-bearing, Heel raise height, Heel raise work, Nonoperative, Achilles Tendon/injuries, Acute Disease, Follow-Up Studies, Heel, Humans, Middle Aged, Male, Treatment Outcome, Tendon Injuries/therapy, Recovery of Function, Rupture/surgery, Adult, Female, Weight-Bearing, Muscle, Skeletal/physiology",
author = "Rasmus Kastoft and Jesper Bencke and Speedtsberg, {Merete B} and Penny, {Jeannette {\O}} and Kristoffer Barfod",
year = "2019",
month = "9",
doi = "10.1007/s00167-018-5058-4",
language = "English",
volume = "27",
pages = "2781--2788",
journal = "Knee Surgery, Sports Traumatology, Arthroscopy",
issn = "0942-2056",
publisher = "Springer",
number = "9",
}
RIS
TY - JOUR
T1 - Early weight-bearing in nonoperative treatment of acute Achilles tendon rupture did not influence mid-term outcome
T2 - a blinded, randomised controlled trial
AU - Kastoft, Rasmus
AU - Bencke, Jesper
AU - Speedtsberg, Merete B
AU - Penny, Jeannette Ø
AU - Barfod, Kristoffer
PY - 2019/9
Y1 - 2019/9
N2 - PURPOSE: Acute Achilles tendon rupture leads to impaired outcome at short term, but little is known concerning medium-term results. The aim of the present study was to investigate the influence of early weight-bearing on clinical outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture.METHOD: The study was performed as a medium-term follow-up on patients included in a randomised controlled trial. Both groups were treated with nonoperative management and controlled early motion. The intervention group was allowed full weight-bearing from day 1, and the control group was non-weight-bearing for 6 weeks. 60 patients were randomised 1:1. Of those, 56 were eligible for inclusion in the medium-term follow-up and 37 participated (18 control, 19 intervention). The outcomes were Achilles tendon Total Rupture Score (ATRS) and heel raise work performed at an average of 4.5 years after the initial injury. Statistical analysis was performed using paired t tests and linear regression.RESULTS: No differences were found between control and intervention groups at 4.5 years. ATRS scores consistently improved in both the intervention and the control groups from 0.5 to 1 year and from 1 to 4.5 years, ending up at 80.5 on average after 4.5 years. Heel raise height kept improving from 0.5 to 4.5 years, reaching a limb symmetry index of 82.4%. The heel raise work improvement from 0.5 to 1 year did not continue. No significant change was found from 1 to 4.5 years, ending at a limb symmetry index of 60%.CONCLUSION: Early weight-bearing did not influence outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture. The calf muscle of the injured limb performs 40% less work, when compared to the healthy limb, though lifting height recovers better.LEVEL OF EVIDENCE: II.CLINICAL TRIALS IDENTIFIER: NCT02760784.
AB - PURPOSE: Acute Achilles tendon rupture leads to impaired outcome at short term, but little is known concerning medium-term results. The aim of the present study was to investigate the influence of early weight-bearing on clinical outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture.METHOD: The study was performed as a medium-term follow-up on patients included in a randomised controlled trial. Both groups were treated with nonoperative management and controlled early motion. The intervention group was allowed full weight-bearing from day 1, and the control group was non-weight-bearing for 6 weeks. 60 patients were randomised 1:1. Of those, 56 were eligible for inclusion in the medium-term follow-up and 37 participated (18 control, 19 intervention). The outcomes were Achilles tendon Total Rupture Score (ATRS) and heel raise work performed at an average of 4.5 years after the initial injury. Statistical analysis was performed using paired t tests and linear regression.RESULTS: No differences were found between control and intervention groups at 4.5 years. ATRS scores consistently improved in both the intervention and the control groups from 0.5 to 1 year and from 1 to 4.5 years, ending up at 80.5 on average after 4.5 years. Heel raise height kept improving from 0.5 to 4.5 years, reaching a limb symmetry index of 82.4%. The heel raise work improvement from 0.5 to 1 year did not continue. No significant change was found from 1 to 4.5 years, ending at a limb symmetry index of 60%.CONCLUSION: Early weight-bearing did not influence outcome 4.5 years after nonoperative treatment of acute Achilles tendon rupture. The calf muscle of the injured limb performs 40% less work, when compared to the healthy limb, though lifting height recovers better.LEVEL OF EVIDENCE: II.CLINICAL TRIALS IDENTIFIER: NCT02760784.
KW - ATRS
KW - Achilles Tendon Total Rupture Score
KW - Achilles tendon rupture
KW - Conservative
KW - Early weight-bearing
KW - Heel raise height
KW - Heel raise work
KW - Nonoperative
KW - Achilles Tendon/injuries
KW - Acute Disease
KW - Follow-Up Studies
KW - Heel
KW - Humans
KW - Middle Aged
KW - Male
KW - Treatment Outcome
KW - Tendon Injuries/therapy
KW - Recovery of Function
KW - Rupture/surgery
KW - Adult
KW - Female
KW - Weight-Bearing
KW - Muscle, Skeletal/physiology
UR - http://www.scopus.com/inward/record.url?scp=85050369549&partnerID=8YFLogxK
U2 - 10.1007/s00167-018-5058-4
DO - 10.1007/s00167-018-5058-4
M3 - Journal article
VL - 27
SP - 2781
EP - 2788
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 9
ER -