A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES

M H A Eames; R G H Wallace; I E R Traynor; G W Kernohan; N W A Eames

doi:10.1302/0301-620X.85BSUPP_II.0850120

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A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES

M H A Eames
R G H Wallace
I E R Traynor
G W Kernohan
N W A Eames

A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES

Eames MHA, Wallace RGH, Traynor IER, Kernohan GW, Eames NWA. A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES. Orthop Procs. 2003;85-B(SUPP_II):120-120. doi:10.1302/0301-620X.85BSUPP_II.0850120

Eames, M H A, et al. “A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES.” Orthopaedic Proceedings, vol. 85-B, no. SUPP_II, 2003, pp. 120-120., https://doi.org/10.1302/0301-620X.85BSUPP_II.0850120

Eames, M. H. A., Wallace, R. G. H., Traynor, I. E. R., Kernohan, G. W., & Eames, N. W. A. (2003). A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES. Orthopaedic Proceedings, 85-B(SUPP_II), 120-120. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850120

Eames, M. H. A., Wallace, R. G. H., Traynor, I. E. R., Kernohan, G. W. and Eames, N. W. A. (2003) “A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES.” Orthopaedic Proceedings, 85-B(SUPP_II), pp. 120-120. Available at: https://doi.org/10.1302/0301-620X.85BSUPP_II.0850120

Eames, M H A, R G H Wallace, I E R Traynor, G W Kernohan, and N W A Eames. “A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES.” Orthopaedic Proceedings 85-B, no. SUPP_II (2003): 120-120. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850120

Eames MHA, Wallace RGH, Traynor IER, Kernohan GW, Eames NWA. A REVIEW OF THE COMBINED CONSERVATIVE AND ORTHOTIC MANAGEMENT OF ACHILLES TENDON RUPTURES. Orthop Procs. 2003 Feb 1;85-B(SUPP_II):120-120. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850120

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Abstract

This is the largest detailed study of conservative management of Achilles tendon rupture in the literature to date.

We assessed 140 subjects who had a complete rupture of their Achilles tendon treated with our combined conservative and orthotic regime between 1992 and 1998. Subjects were assessed subjectively and objectively, including isokinetic measurements of ankle plantarflexion and dorsiflexion.

Overall 56% had excellent, 30% good, 12% fair and 2% poor results. The complication rate was 4%, with only 3 tendon reruptures.

When compared with published results for operative repair, our combined conservative and orthotic treatment produces better results overall. Patients are subjectively happier, they have better strength results and have fewer complications.

The abstracts were prepared by Mr Simon Donell. Correspondence should be addressed to him at the Department of Orthopaedics, Norfolk & Norwich Hospital, Level 4, Centre Block, Colney Lane, Norwich NR4 7UY, United Kingdom