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PROPOSAL FOR A REHABILITATION PROTOCOL AFTER CALCANEAL TENDON RECONSTRUCTION: FROM THE IMMEDIATE POST-OPERATIVE
Flavia Cursino de Vicente1, Georgia Melges de Souza1, Cleidneia Aparecida Clemente1,2
1Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas (HCFMUSP), Instituto de Ortopedia e Traumatologia, Sao Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|November 12, 2025
Summary
This study outlines a safe, literature-based rehabilitation protocol for acute calcaneal tendon rupture. The proposed physiotherapy approach minimizes surgical site damage, aiding tissue regeneration after injury.
Area of Science:
- Orthopedics
- Sports Medicine
- Regenerative Medicine
Background:
- The calcaneal tendon is the strongest human tendon, making it susceptible to acute rupture and lower limb injuries.
- Effective postoperative rehabilitation is crucial for optimal tissue regeneration and functional recovery following calcaneal tendon rupture.
Purpose of the Study:
- To present a comprehensive, literature-based rehabilitation protocol for the postoperative management of acute calcaneal tendon rupture.
- To align the rehabilitation strategy with the physiological principles of tissue regeneration.
Main Methods:
- A systematic literature review was conducted over the past 20 years.
- The review focused on rehabilitation strategies following acute calcaneal tendon rupture.
- The protocol was developed by the Physiotherapy Service at the Institute of Orthopaedics and Traumatology, University of São Paulo.
Main Results:
- The study identified key elements for a successful rehabilitation protocol.
- The proposed protocol demonstrates minimal risk of damage to the surgical site, irrespective of surgical technique variations.
- The protocol is designed to support the natural tissue regeneration process.
Conclusions:
- A standardized, evidence-based rehabilitation protocol can effectively manage postoperative calcaneal tendon rupture.
- The presented protocol offers a safe approach, reducing the risk of complications and promoting healing.
- This systematic review provides a valuable resource for clinicians managing calcaneal tendon injuries.
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