Rupture of Achilles Tendon Clinical Trial
Official title:
Functional Outcomes After Conservative Management of the Acutely Ruptured Achilles Tendon in the Under 60 Age Group. A Randomised Controlled Trial Comparing Standard Conservative Management With Accelerated Rehabilitation Using a Moon Boot
The purpose of this study is to directly compare traditional plaster treatment with early weightbearing in a walking boot for the non operative treatment of acute achilles tendon rupture.
This injury has traditionally been treated in a plaster cast applied to the leg for a period
of 10 weeks which allows the tendon to heal, or by an operation to repair the tendon.
Research undertaken in the investigators department has shown that patients treated with
surgery or with a plaster had similar chance of re-rupture of the tendon after treatment and
gain a similar recovery. The investigators therefore now manage these injuries in a plaster.
More recently, further research has shown that a new type of non-surgical rehabilitation
programme, which is quicker than the traditional non-surgical programme, gave a tendon
re-rupture rate that was similar to that after surgical treatment. This new rehabilitation
programme uses a walking boot fitted with a heel-raise (instead of the traditional plaster).
The potential benefit of this quicker rehabilitation programme is that it allows the patient
to put weight through the leg immediately, whereas patients treated with the traditional
plaster cast non-surgical treatment cannot weight bear (this means that they are kept
non-weightbearing and therefore have to use crutches) for the first 8 weeks. The time spent
in the walking boot in this new, quicker rehabilitation programme is 8 weeks while that spent
in plaster is 10 weeks. This new non-surgical, quicker rehabilitation programme is referred
to as the accelerated non-surgical programme hereafter. There are no known increased risks
with the accelerated rehabilitation programme.
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Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02308618 -
Rehabilitation Programs After Achilles Tendon Rupture
|
N/A | |
Terminated |
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Completed |
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Treatment Results After Acute Rupture of the Achilles Tendon.
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N/A |