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| Clinical Study on the Effect of Early Weight Bearing on the Rehabilitation of Achilles Tendon Rupture After Operation |
| LI Chen, DONG Bin, CHEN Ting, et al |
| The First Affiliated Hospital of Anhui University of Technology / The First People's Hospital of Huainan, Anhui Huainan 232000, China |
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Abstract Objective: To investigate the effect of early weight bearing on the recovery of acute closed Achilles tendon rupture. Methods: From January 2018 to March 2019, 40 patients with closed Achilles tendon rupture admitted to the First People's Hospital of Huainan City were randomly divided into two groups: 20 patients in early weight bearing group (18 males), age (41.20 ± 8.13); 20 patients in the control group (19 males), age (44.40 ± 10.03). Ankle extension and flexion exercise was started in the 3rd week in both groups. The two groups were operated by the same doctors. Both groups were followed up for 12 months. The postoperative complications, r-ATRA and ATRs were compared between the two groups. Results: Delayed healing: 1 case in control group and 2cases in the weight bearing group; and rerupture : 1 case in the control group. There was no significant difference between the two groups (P > 0.05). The Achilles tendon in both groups healed in 12 months. On the second day after operation, r-ATRA was as follows: weight bearing group[- 9.50 ± 6.51 (n = 20)], control group [- 11.6 ± 6.41 (n = 20)], there was no significant difference between the two groups (P > 0.05); on the second month after operation, r-ATRA was as follows: weight bearing group [9.28 ± 7.68 (n = 20)], control group [4.83 ± 11.58 (n = 19)], there was no significant difference between the two groups (P > 0.05); ATRs score of the second month after operation and one year after operation were as follows: weight bearing group [53.35 ± 9.94 (n = 20)], [78.84 ± 5.72 (n = 19)], control group [45.47 ± 10.57 (n = 19)], [72.83 ± 4.05 (n = 18)] . The difference is clear.(P < 0.05).Conclusion: Early weight bearing after Achilles tendon rupture does not increase the rate of Achilles tendon extension and postoperative complications, and it can improve the satisfaction of patients and is conducive to the recovery of limb function.
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2021, Vol. 27 
