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[Functional analysis after Achilles tendon repair].

B Moretti¹, L Quagliarella, N Sasanelli

¹Sezione di Ortopedia, Dipartimento di Metodologia Clinica e Tecnologie Medico-Chirurgiche, Università degli studi di Bari, Italy.

Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia

|September 25, 2007

Summary

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Surgical treatment for Achilles tendon rupture (ATR) can lead to functional impairment. Vertical jump tests reveal significantly lower performance in operated individuals, indicating a need for careful return-to-sport assessments.

Area of Science:

Orthopedics
Sports Medicine
Biomechanics

Context:

Achilles tendon rupture (ATR) is a severe injury requiring surgical intervention.
Post-surgical functional impairment can limit participation in sports activities.
Objective evaluation methods are needed to assess recovery and identify risks.

Purpose:

To evaluate functional impairment after surgical treatment for Achilles tendon rupture (ATR).
To compare vertical jump performance between individuals who underwent ATR surgery and healthy controls.
To identify potential risks for engaging in high-impact sports post-surgery.

Summary:

Twenty subjects with surgically treated ATR and 20 healthy controls performed vertical jumps (countermovement and squat jumps).
Flying time (Tv) was measured using accelerometers. Surgically treated subjects showed significantly lower global performance (Tv) compared to controls.

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The operated leg exhibited a 6% longer Tv than the contralateral leg in the ATR group, unlike controls. Seven ATR subjects had Tv below control thresholds, suggesting potential risks for high-impact activities.

Impact:

Functional evaluation using vertical jump performance can identify subtle impairments after ATR surgery.
This assessment aids in determining safe return-to-sport timelines and preventing re-injury.
Findings highlight the importance of objective biomechanical assessments for personalized rehabilitation strategies.