Achilles tendon rupture: early dynamic mobilisation after surgery

Abstract

It should be investigated whether the results of operative treatment of Achilles tendon ruptures can be improved by the use of a lower leg splint. We report on 58 patients with a subcutaneous Achilles tendon rupture, who underwent a standardised suture repair (Bunnell suture) followed by an early functional dynamic treatment with a newly developed lower leg splint. 45 patients, 3 women and 42 men, were examined on average 30 months after the operation. The cause of the rupture was predominantly a sporting activity. There were no postoperative complications, no rerupture and no infection. The ultrasonic investigation showed a very good gliding ability of the operated tendons, in the compartment I with 38 and in the compartment II with 7 of the 45 patients. According to the Trillat classification 27 patients scored excellent and 18 patients good. Similar to the treatment concept after surgical repair of hand tendons an early better result can be obtained by a functional dynamic treatment regimen also in operated Achilles tendon ruptures.