+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Experimental evaluation of immobilization in operative and non-operative treatment of Achilles tendon rupture. A radiographic study in the rabbit



Experimental evaluation of immobilization in operative and non-operative treatment of Achilles tendon rupture. A radiographic study in the rabbit



Acta Chirurgica Scandinavica 149(7): 669-673



Achilles tenotomy in rabbits was followed by operative or non-operative management. Various immobilization periods were used (0, 7, 16 and 35 days). Steel markers were fixed on the tendon ends to allow continuous X-ray monitoring of the distance between them. The separation of the tendon ends followed a biphasic course, with (I) and initial separation, 0-7 days, (II) no separation, 8-12 days, and (III) late separation, 22-35 days, irrespective of the therapeutic procedure. When the tendon was sutured, the initial separation was small if the leg was immobilized, but large if no immobilization was used. When no suture was applied, the initial separation was always large, whether or not the leg was immobilized. Large initial separation of the tendon ends always resulted in disturbed healing of the tendon. The final tendon end separation was independent of duration of immobilization. Good healing of cut Achilles tendon in rabbits thus requires immediate suture and immobilization for at least 7 days. The possible validity of these observations for tendon rupture in man offers interesting prospects.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 043080878

Download citation: RISBibTeXText

PMID: 6650081


Related references

Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. A prospective, randomized clinical and radiographic study. Journal of Bone and Joint Surgery. American Volume 81(7): 983-990, 1999

Operative vs. non-operative treatment of acute Achilles tendon rupture. Acta Chirurgica Iugoslavica 60(3): 57-60, 2013

Outcomes and complications of operative versus non-operative treatment of acute Achilles tendon rupture: a meta-analysis. Chinese Medical Journal 124(23): 4050-4055, 2011

Comparative study of between conservative and operative treatment in rupture of achilles tendon. Orthopedic Surgery 36(12): 1712-1714, 1985

Evaluation of operative treatment of subcutaneous rupture of the achilles tendon--correlation between clinical presentation and ultrasound examination. Chirurgia Narzadow Ruchu i Ortopedia Polska 75(3): 147-153, 2010

Operative versus nonoperative treatment of Achilles tendon rupture: A prospective randomized study and review of the literature. American Journal of Sports Medicine 21(6): 791-799, 1993

Review of the operative treatment of Achilles tendon rupture. Clinical Orthopaedics and Related Research: 80-83, 1985

Operative treatment for neglected rupture of achilles tendon. Hokkaido Journal of Orthopedic And Traumatology 38(2): 49-52, 1995

Operative treatment of subcutaneous rupture of achilles tendon. Klinichna Khirurhiia 2000(7): 41-42, 2000

Operative treatment of subcutaneous rupture of Achilles tendon. Ugeskrift for Laeger 139(16): 941-943, 1977

Comparison of conservative and operative treatment of Achilles tendon rupture. American Journal of Sports Medicine 6(3): 107-111, 1978

Clinical outcome of exercise therapy and early post-operative rehabilitation for treatment of neglected Achilles tendon rupture: a randomized study. Knee Surgery Sports Traumatology Arthroscopy 24(7): 2148-2155, 2016

Residual functional problems after non-operative treatment of Achilles tendon rupture. Foot and Ankle Surgery 3(3): 131-135, 1997

Operative repair of ruptured achilles tendon and functional after-treatment--I. Acute rupture. Netherlands Journal of Surgery 35(2): 61-64, 1983

Operative repair of ruptured achilles tendon and functional after-treatment--II. Delayed rupture. Netherlands Journal of Surgery 35(2): 65-68, 1983