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Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_19 | Pages 13 - 13
1 Nov 2016
Qureshi A Gulati A Shah A Mangwani J
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Aim

To determine the influence of tendo achilles (TA) rupture gap distance and location on clinical outcome managed with accelerated functional rehabilitation.

Methods

Twenty six patients with acute complete TA ruptures underwent ultrasound (US) within a week of injury. Measurements included the distance of the rupture from the enthesis and the gap distance between the tendon edges in three positions –

foot plantigrade,

maximum equinus and

maximum equinus with 90o knee flexion.

All patients were managed non-operatively in functional weightbearing orthoses. Nineteen patients were followed up at a mean of 6.1 years (range 5.8–6.5). Outcomes included ultrasound confirmation of healing, Achilles Tendon Rupture Score (ATRS) and Modified Lepilahti score (MLS).