An analysis of the effects of sports rehabilitation therapy after minimally invasive Achilles tendon repair surgery
WANG Xiao-ning
HUANG Xin
ZHU Ying-bo
WU Ke-jian
Abstract：Objective To analyze the effects of sports rehabilitation therapy on the functional recovery in patients after minimally invasive Achilles tendon repair surgery and its clinical signiifcance. Methods From August 2008 to January 2013, 92 patients were treated with minimally invasive Achilles tendon repair surgery in our institute, and then were followed up. According to the odd or even number of each patient when adopted, all patients were randomly divided into 2 groups postoperatively, including 48 patients in sports rehabilitation therapy group ( group A ), who underwent progressive rehabilitation training strictly in accordance with the graphic rehabilitation guidelines as we planned, and 44 patients ( 4 missing cases ) in spontaneous recovery group ( group B ), who got to know the matters needing attention about the postoperative rehabilitation as doctors instructed verbally. In group A, there were 46 males and 2 females, whose average age was 34.3 years old ( range;18-50 years ), including 30 patients in the left side and 18 patients in the right side. In group B, there were 42 males and 2 females, whose average age was 35.1 years old ( range;21-52 years ), including 26 patients in the left side and 18 patients in the right side. The functional recovery was evaluated by the Arner-Lindholm evaluation criteria and the statistical analysis of measurement data was performed using the software Statistical Package for Social Science ( SPSS ) 13.0. And then the differences between the 2 groups were compared. Results All patients were followed up for an average period of 19.6 months ( range;8-48 months ). No infection was found in both groups. In group B, tendon re-rupture occurred in 4 cases, re-operation in 3 cases and conservative treatment in 1 case. No tendon re-rupture occurred in group A. According to the Arner-Lindholm evaluation criteria, there were 34 excellent cases, 13 good cases and 1 poor case in group A, and the total excellent and good rate was 97.91%( 47/48 ). In group B, there were 18 excellent cases, 21 good cases and 5 poor cases, and the total excellent and good rate was 88.63% ( 39/44 ). The differences in the excellent and good rate between the 2 groups were statistically signiifcant ( P=0.014 ). Conclusions The sports rehabilitation therapy after minimally invasive Achilles tendon repair surgery planned by us is effective and reliable, and play a key role in promoting functional recovery and preventing re-rupture. It is worthy of promotion.
Keywords：Achilles tendonRecovery of functionAnkle jointSurgical proceduresminimally invasive
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 641-644 )