Post-surgical Rehabilitation Protocol and Outcome in Tendoachilles Rupture with Large Defect: A Case Series

Abstract

Achilles tendon (AT) is the strongest and one of the commonly ruptured tendons. For AT rupture with large defect, surgery is arguably better option than conservative one. However, rehabilitation protocol and outcome after surgery for AT rupture with larger defects is not mentioned well in the literature. In this series, 11 cases of AT rupture with large defect are studied retrospectively from the hospital records. All of the cases received uniform structured rehabilitation and orthotic management following repair surgery and were followed up at 6 months and 1 year. Significant improvement in pain, function and strength was noted and temporal association is found between symptomatic change and day of presentation. However, there was no report of re-rupture and there was no difference in outcome with intraoperative platelet-rich plasma injection.

Keywords

• achilles tendon rupture
• achilles tendon total rupture score
• case report
• rehabilitation
• tendon repair