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Achilles Tendon Rupture clinical trials

View clinical trials related to Achilles Tendon Rupture.

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NCT ID: NCT04727047 Not yet recruiting - Clinical trials for Achilles Tendon Rupture

NMES for Achilles Tendon Rupture

Start date: May 2021
Phase: N/A
Study type: Interventional

The majority of patients suffering an Achilles tendon rupture develop long term functional deficits in the affected leg. The goal of the proposed study is to evaluate a new rehabilitation protocol using Neuromuscular Electrical Stimulation (NMES) for reducing muscle atrophy and improving tendon properties. If proven beneficial, the proposed protocol can be easily adopted and incorporated as part of routine care for Achilles tendon rupture.

NCT ID: NCT04726189 Recruiting - Clinical trials for Achilles Tendon Rupture

Early Progressive Strength Exercise for Treatment of Acute Achilles Tendon Rupture.

Start date: March 19, 2021
Phase: N/A
Study type: Interventional

The purpose of this trial is to investigate the efficacy of standard care versus standard care combined with an early progressive exercise program in improving the function of the tendon and leg muscles after non-surgical treated Achilles tendon rupture

NCT ID: NCT04692883 Completed - Clinical trials for Postoperative Complications

Comparison of Functional Bracing vs Rigid Immobilization After Modified Percutaneous Achilles Tendon Repair

Start date: January 1, 2001
Phase: N/A
Study type: Interventional

Rationale There is ongoing controversy over the optimal treatment and rehabilitation strategy of an acute Achilles tendon rupture (ATR). The highest general complication rate is reported in patients treated with percutaneous repair and early mobilization. Objectives The purpose of the study is to compare the results of two ways of postoperative regimen after treatment with the modified and biomechanically significantly stronger percutaneous repair under local anesthesia. Methods & Population All the consecutive patients with an acute complete Achilles tendon rupture who will agree to take part in a study will be randomized after a modified percutaneous repair under local anesthesia into functional group (FG), using a modified brace and immobilization group (IG), wearing a rigid plaster, in both groups for the period of 6 weeks. After that they will follow the same (standardized) rehabilitation protocol. Major and minor complication rate, diameter of the healed tendon, active and passive ankle range of motion (using neutral zero method), standing heel-rise test (with 25 repetition within a minute for a grade of normal) and clinical outcome using American Foot and Ankle Society (AOFAS) hindfoot-ankle score, return to the previous activity level, presence of associated complaints and subjective assessment (scored as good, fair or poor) will be assessed. Time frame This will be a 4-year study with a 3-year follow-up. Expected outcomes: There will be no differences in demographic parameters (age, gender, side and mechanism of the injury) between groups. Patients in the FG will reach sooner final range of motion (ROM) and muscular strength without limping and will be (subjectively) more satisfied with the treatment. There will be no statistically significant differences observed between groups according to the number of complications and in the end functional results with return to pre-injury activities.

NCT ID: NCT04663542 Recruiting - Clinical trials for Achilles Tendon Rupture

The Efficacy of Different Immobilization Times After Achilles Tendon Rupture Surgery

Start date: September 1, 2020
Phase: N/A
Study type: Interventional

This study is a prospective randomized controlled clinical study. After the Achilles tendon rupture repaired by our suture technique, patients were randomly divided into 4 groups, and the brace fixation time was 0, 2, 4 and 6 weeks, respectively, to study the difference in efficacy between the groups.

NCT ID: NCT04492059 Recruiting - Clinical trials for Achilles Tendon Rupture

Use of Blood Flow Restriction Therapy in Perioperative Rehabilitation Following Achilles Tendon Rupture

Start date: September 1, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to examine the effect of utilizing blood flow restriction (BFR) therapy in the rehabilitation of Achilles tendon rupture (ATR). Muscle atrophy occurs following Achilles tendon rupture, whether managed non operatively or operatively, which has implications on patient outcomes. The goal of physical therapy in the perioperative period is to regain and ultimately return to activity. BFR has been proposed to reduce atrophy and maintain strength, which would theoretically mitigate the deconditioning effects of an injury on surrounding musculature. BFR is proposed to work by restricting arterial inflow leading to an oxygen depleted environment and the ability to induce muscle adaption at lower maximum repetition via reactive hyperemia and induction of growth cytokines, thus leading to muscle hypertrophy. The goal of this investigation is to determine if using BFR as an adjunct in physical therapy following ATR would reduce muscular atrophy and lead to increased and expedited strength gains. Additionally, the investigators would like to determine if BFR accelerates the rehabilitation process and allows patients to perform standard rehabilitative functional tests and return to play sooner. Furthermore, the investigators will investigate patient reported outcomes metrics. The investigators hypothesize that the BFR group will have significantly greater strength gains at all time points in both non operatively and operatively treated ATR. Previous studies have shown that BFR has potential in increasing Achilles tendon stiffness, tendon cross-sectional area, muscle strength and muscle hypertrophy. However, there is a lack of evidence regarding the use of BFR in both the pre and postoperative period specifically relating to ATR. The investigators believe that the use of BFR in the perioperative period surrounding an Achilles tendon rupture and ATR has the potential to significantly decreased muscle atrophy, improve patient satisfaction and lead to earlier return to sport.

NCT ID: NCT04478383 Completed - Clinical trials for Achilles Tendon Rupture

Repair of Achilles Sleeve Avulsion: a New Transosseous Suture Technique

Start date: August 1, 2017
Phase:
Study type: Observational

This retrospective study identified 12 patients with Achilles sleeve avulsion from November 2013 to March 2016, aiming to explore a new transosseous suture technique for the repair of Achilles sleeve avulsion and observe the short-term curative effect.

NCT ID: NCT04420832 Recruiting - Ultrasonography Clinical Trials

Acute Achilles Tendon Rupture - Choice of Treatment Based on Ultrasound Findings

DUSTAR
Start date: August 1, 2020
Phase: N/A
Study type: Interventional

Patients with acute achilles tendon rupture will go through an acute ultrasound. Based on the distance between the ends of the tendon the investigators will decide if the patient is going to be treated with or without surgery.

NCT ID: NCT04356612 Active, not recruiting - Clinical trials for Achilles Tendon Rupture

Barriers to Efficient PACU Discharge at a Major Academic Orthopaedic Ambulatory Surgery Center

Start date: December 20, 2019
Phase:
Study type: Observational

This is a retrospective chart review to determine the etiologies contributing to prolonged PACU discharge at a major Orthopedic Ambulatory Center

NCT ID: NCT04263493 Recruiting - Clinical trials for Achilles Tendon Rupture

Delayed Loading Following Repair of a Ruptured Achilles Tendon

DELOAT
Start date: May 20, 2020
Phase: N/A
Study type: Interventional

The purpose of the study is to investigate if delayed loading following surgical treated Achilles tendon rupture influence the clinical outcome and muscle and tendon structure after one year. The investigators hypothesize that delaying the gradual introduction of loading in the initial 26 weeks may reduce the heel-rise deficit (primary outcome) and thus improve the clinical outcome one year after surgery (primary endpoint).

NCT ID: NCT04121377 Completed - Clinical trials for Achilles Tendon Rupture

Feasibility of an Early Progressive Strength Exercise Programme for Acute Achilles Tendon Rupture

Start date: October 11, 2019
Phase: N/A
Study type: Interventional

The aim of this study is to investigate the feasibility of an early progressive exercise program for patients with Achilles tendon rupture treated non-surgically. The outcomes will concern the patient's acceptability of the intervention, adherence to the intervention and safety of the healing tendon.