The Efficacy of Different Rehabilitation Protocols After Achilles Tendon Rupture Surgery

Study Overview
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Brief Summary
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This study is a prospective randomized controlled clinical study. After the Achilles tendon rupture repaired , patients were randomly divided into 2 groups, and the rehabilitation protocol was traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring , respectively, to study the difference in efficacy between the groups.

Detailed Description
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This prospective randomized controlled clinical study is designed to compare the treatment outcomes of different rehabilitation protocols by dividing the patients into two groups-based on the traditional rehabilitation protocol and accelerated rehabilitation protocol under ultrasonic monitoring after a similar suture technique. The inclusion criteria are patients with an acute closed single-legged complete Achilles tendon rupture, and an age of 18 to 60 years. The exclusion criteria are patients with prior Achilles tendon rupture or other situations that affect their lower limb functions or tendon healing (e.g., autoimmune disease, diabetes mellitus, systemic corticosteroid treatment). Other exclusion criteria are an inability to complete our suture technique (e.g., the distance from the rupture site to the Achilles tendon insertion is less than 3.5 cm), or those without rehabilitation or follow-up outcomes. All patients will be treated surgically with the same suture technique.

Official Title
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A Prospective Randomized Controlled Clinical Trial on the Comparison of Traditional Rehabilitation Protocol and Accelerated Rehabilitation Protocol Under Ultrasonic Monitoring for Achilles Tendon Rupture

Conditions
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Achilles Tendon Rupture

Intervention / Treatment
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* Procedure: Rehabilitation protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: acute closed single-legged complete Achilles tendon rupture . age of 18 to 60 years. Exclusion Criteria: patients with prior Achilles tendon rupture or other situations that affected their lower limb functions or tendon healing (e.g., autoimmune disease, diabetes mellitus, systemic corticosteroid treatment). an inability to complete our suture technique (e.g., the distance from the rupture site to the Achilles tendon insertion was less than 3.5 cm) . those without rehabilitation or follow-up outcomes.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Traditional rehabilitation protocol<br>Traditional rehabilitation protocol after the surgery will be conducted | Procedure: Rehabilitation protocol<br>* Rehabilitation protocol after open surgery for Achilles tendon rupture<br>|
| Active Comparator: Accelerated rehabilitation protocol<br>Accelerated rehabilitation protocol under ultrasonic monitoring after the surgery will be conducted | Procedure: Rehabilitation protocol<br>* Rehabilitation protocol after open surgery for Achilles tendon rupture<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The time of return to light sports activity | When the patients are able to do jogging or rapid walk after the surgery, the time will be recorded. | From operation to 1-year follow-up after the surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion (ROM) recovery time | The recovery time will be recorded when the ROM is similar to that of the uninjured side. | from operation to 1-year follow-up after the surgery | 
| Recovery time of the single-legged heel rise height (SHRH) | The heel rise height is measured as the distance from the ground to the heel when the patient lift the heel while keeping the knee straight. The recovery time is noted when the SHRH is similar to that of the opposite leg. | From operation to 1-year follow-up after the surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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accelerated rehabilitation protocol, traditional rehabilitation protocol, ultrasonic monitoring