Rehabilitation Regimen After Surgical Treatment of Acute Achilles Tendon Ruptures: A Systematic Review With Meta-analysis

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この研究はハイインパクトの可能性があります。 OEのAI駆動型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、論文が持つ可能性の高い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可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

9 studies (6 randomized controlled trials (RCT) and 3 quasi-randomized trials) with a total of 402 patients were included in this analysis to identify and analyze postoperative rehabilitation methods following Achilles tendon (AT) repair. Two early postoperative function rehabilitation regimens (within 2 weeks after AT repair) were compared to immobilization after AT repair: early weightbearing with an ankle motion exercise regimen, and isolated early ankle motion exercises without early weightbearing. Pooled results demonstrated that early ankle motion with early weightbearing offered significantly superior outcome in terms of functional recovery, and a lower rate of minor complications, compared to immobilization. No significance was found in rerupture rates or major complication rates between the two groups. Significant differences between isolated ankle motion (without early weightbearing) and immobilization were limited to shorter return to sport and lesser tendon elongation over 1 year postoperatively.