Achilles Tendon Ruptures

[Chan Lee]

Do you prefer early rehab or an immobilized cast? What are your thoughts on the pros and cons of each?

[Nikolaos Gougoulias]

My rehab protocol for acute Achilles tendon repairs is:
1. Frontslab below knee (BK) NWB for 2/52
2. If wound ok at 2/52= BK equinus cast allowing WB as tolerated for the next 4/52
3. At 6/52 postop = Aircast boot with 2 heel wedges - FWB / remove one wedge every 2/52 - starting passive ROM exercises - progressing to active ROM and proprioception exercises
4. Usually the pt is able to walk FWB without boot at 10-12/52

[daniel goricki]

Hello

there is a lot of evidence that early mobilization improves the outcome, operatively or non-opertivly treated (read twaddle 2007).