Acute achilles tendon rupture - Copenhagen ultrasonographic length measure

Individualized treatment for Acute Achilles Tendon rupture based on the Copenhagen ultrasonographic length measure - a Randomized Controlled Trial.

Primary investigators

Marianne Toft Vestermark, MD PhD,1

Maria Swennergren Hansen, PT, MSc, PhD student,2

Senior researcher

Kristoffer Weisskirchner Barfod, MD PhD,3

Study members

Peter Edvard Hvidt, MD,1; Lars Ebskov, MD,4; Per Hölmich, Professor, Chief Surgeon, DMSc,3,4; Morten Tange Christensen, Senior researcher, PT PhD,2; Erland Magnussen,5; Jesper Bencke,6

Collaborators

  1. Department of Orthopedic Surgery, Viborg Regional Hospital, Denmark
  2. Physical Medicine & Rehabilitation Research, Copenhagen University Hospital Hvidovre, Denmark
  3. Sports Orthopedic Research Center – Copenhagen, Copenhagen University Hospital Hvidovre, Denmark
  4. Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Denmark
  5. Department of Radiologi, Copenhagen University Hospital Hvidovre, Denmark
  6. Laboratory of Human Movement Analysis, Department of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark

About the study/project

It is likely that some patients with primary Achilles tendon rupture need surgery and some are better off with non-operative treatment due to the individual morphology of the rupture and the potential to heal with good strength in a functional acceptable length.

The identification and selection of patients for operative treatment has not yet been well investigated. A quantitative and evidence-based measure or method is needed to guide the clinician for optimal treatment.

Barfod et al have developed a validated ultrasonographic length measure which is easy to conduct in the Emergency Department as part of the primary diagnostic. This ultrasonographic length measure may be the actual predictive tool for identifying patients with risk of critical elongation of the tendon after healing and poor functional outcome. We propose an evidence-based individualized algorithm for treatment of acute Achilles tendon rupture based on Barfod’s ultrasonographic length measure to address the issue.       

Purpose of the study/project

To investigate if individualized treatment of acute Achilles tendon rupture is more effective than treating all patients either operatively or non-operatively. The individualized treatment algorithm allocates patients to either operative or non-operative treatment based on Barfod’s ultrasonographic length measure of the ruptured tendon.

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