Efficacy of early controlled motion of the ankle compared with immobilisation in non-operative treatment of patients with an acute Achilles tendon rupture: an assessor-blinded, randomised controlled trial

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

One hundred and thirty patients with acute Achilles tendon ruptures were randomized to receive early controlled ankle motion during weeks 2 to 8 post-injury (n=68) or ankle immobilization during weeks 2 to 8 post-injury (p=62). The primary outcome of interest was the Achilles tendon Total Rupture Score (ATRS). Secondary outcomes of interest included heel-rise work, tendon elongation, perimeter of calf difference compared to uninjured limb, Achilles tendon resting angle (ATRA), Achilles length measure (ATLM), and the incidence of re-rupture. The incidence of return to work, the incidence of return to sport, the incidence of return to sport at same level, time to return to work, time to return to sport, and time to return to sport at the same level were assessed at 1 year post-injury. Primary and secondary outcomes were assessed at 4 months, 6 months, and 12 months post-injury. No statistically significant differences in all outcomes, at all time-points, were observed between the early controlled motion group and the immobilization group (p>0.05 for all).