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KMID : 0896720030070010078
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.78 ~ p.82
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Early Mobilization after Operative Treatment of a ruptured Achilles tendon
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Chung Hyung-Jin
Park Jun-Seok
Kim Hyun-Ho
Park Yong-Won
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Abstract
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Purpose: The purpose of the study is to evaluate the clinical outcomes of acute Achilles tendon rupture patients treated by early mobilization after operative repair.
Material and Methods : In this retrospective study, 12 patients of acute Achilles tendon repture were surgically treated from May 2001 to November 2002, with follow-up period of at least 6 months. There were 10 men and 2 women, and mean age was 35.9 year. The repair method was single Krackow suture technique. Two to three weeks after the operation, early ROM with removable ankle-foot orthosis(AFO) was started. We used Arner-Lindholm scale for the clinical evaluation and analyzed patient’s satisfaction and subjective strength deficit.
Results: We had 11 excellent results(92%), and 1 good results(8%). One-leg raising was possible in all patients. All the patients returned to the preinjury occupations and 7 patients(58%) reached the preoperative level of sports activities. There was no significant difference in ankle ROM and ankle plantar flexion isokinetic strength compared to contralateral side. There was no reruptures.
Conclusions:Early mobilization proved to be a well tolerated, safe, and effective means for the compliant patient.
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KEYWORD
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Acute Achilles tendon rupture, Krackow suture technique, early mobilization
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