Rehabilitation After Acute Ruptures of the Achilles Tendon

  • Anish R. Kadakia
  • Kelly Short PT
  • Mark S. Myerson

Postoperative regimens after Achilles tendon rupture can be broadly categorized as delayed rehabilitation or early functional rehabilitation. Delayed rehabilitation utilizes cast treatment to immobilize the tendon. This common postoperative practice after open Achilles repair includes a 4- to 6-week period in a non–weight bearing, short leg cast that begins in equinus and is gradually brought to neutral. Full weight bearing is typically permitted at 4 to 6 weeks in a short leg cast, after which the cast is removed and physiotherapy is begun.1, 2, 3, 4, 5, 6

Prolonged immobilization, although fully protecting the repair from traumatic rerupture and gapping at the repair site, is associated with multiple complications such as arthrofibrosis, muscle atrophy, deep vein thrombosis, adhesions, and articular cartilage degeneration.7, 8, 9 Immobilization is causally related to a decrease in muscle size, a decrease in the force-generating capacity per unit area, and interstitial fibrosis.7,10...


Weight Bearing Achilles Tendon Full Weight Bearing Partial Weight Bearing Functional Rehabilitation 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Anish R. Kadakia
    • 1
  • Kelly Short PT
  • Mark S. Myerson
    • 1
  1. 1.Institute for Foot and Ankle Reconstruction, Mercy Medical CenterBaltimoreUSA

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