Tendon Elongation and Function After Delayed or Standard Loading of Surgically Repaired Achilles Tendon Ruptures: A Randomized 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

Forty-eight patients with surgically repaired Achilles tendon ruptures were randomized to receive either standard loading (n=24) or delayed loading (n=24). The primary outcome of interest was the heel-rise height difference between the injured and uninjured sides at one year. Secondary outcomes included tendon length measured with MRI, muscle fascicle length and pennation angle of the gastrocnemius medialis, Doppler activity, Achilles tendon Total Rupture Score (ATRS), and isometric muscle strength. Outcomes were assessed for up to one year. Overall, the results of the study revealed no significant difference in heel-rise height deficit between the two groups. However, the delayed group had less Doppler activity at 12 weeks and a better ATRS at 52 weeks. These findings suggest that while delayed loading did not reduce the heel-rise height deficit, it may be associated with reduced inflammation and better patient-reported outcomes.