Advance in Dynamic Functional Rehabilitation after Non-operative Treatment of Acute Achilles Tendon Rupture (review) / 中国康复理论与实践

There is no consensus on the best treatment for acute Achilles tendon rupture. Functional rehabilitation after surgical treatment has been widely recognized, but the functional rehabilitation of non-surgical treatment has not been specifically studied. Based on the clinical practice of all kinds of Achilles tendon rupture, the best dynamic functional rehabilitation scheme and evaluation method were discussed. In order to bring more effective rehabilitation strategies for patients with Achilles tendon rupture, and reduce the rate of re-rupture and complications.

Repairing closed rupture of Achilles tendon with rectangle frame and no tension short incision / 中国基层医药

Objective To improve the operation method of rupture of Achilles tendon for decreasing complication. Methods Total 39cases with closed rupture of Achilles tendon were selected in this study. Short incision was made at achilles tendon wall, reveal and anneal the broken ends, using Kirschner wire and steel-wire to make rectangle frame ,intradermic fixation of fracture away from the broken ends, then sutured ends with rarities and smoothing,functional exercise after 6weeks ankle rest position fixation. Results According to the Arner Lindholm evaluation system,the treatment outcome were excellent in 34 cases ,and good in 5cases. No complication including re-rupture skin ,tendon necrosis and infection were found after operation. Conclusion Repaired closed rupture of Achilles tendon with short incision and rectangle frame, assisted with ankle rest position fixation after operation wasa worthy way for treating closed rupture of a chilles tendon.

Operative treatment for open rupture of Achilles tendon / 重庆医科大学学报

Objective:To explore a better method for treatment of open rupture of Achilles tendon.Methods:32 cases of open rupture of Achilles tendon were treated by debridement and modified Kessler′s methods were used to repair injured Achilles tendon.Plaster immobilization remained for 6 weeks after operation.Then ankle joint movement was started.Results:25 cases had been followed up for 1 to 8 years.The rate of excellent and good results was 92%.Conclusion:The method has the advantages of convenient procedure,excellent clinical results,less complications.It would be widely used in clinical practice.