The Library
Achilles tendon rupture rehabilitation : a mixed methods investigation of current practice among orthopaedic surgeons in the United Kingdom
Tools
Kearney, Rebecca S., Parsons, Nicholas R., Underwood, Martin and Costa, Matthew L. (2015) Achilles tendon rupture rehabilitation : a mixed methods investigation of current practice among orthopaedic surgeons in the United Kingdom. Bone and Joint Research, Volume 4 (Number 4). pp. 65-69. doi:10.1302/2046-3758.44.2000400 ISSN 2046-3758.
|
PDF (Creative Commons : Attribution 4.0)
WRAP_bonejointres-04-65.pdf - Published Version - Requires a PDF viewer. Download (425Kb) | Preview |
Official URL: http://dx.doi.org/10.1302/2046-3758.44.2000400
Abstract
Abstract
OBJECTIVES:
The evidence base to inform the management of Achilles tendon rupture is sparse. The objectives of this research were to establish what current practice is in the United Kingdom and explore clinicians' views on proposed further research in this area. This study was registered with the ISRCTN (ISRCTN68273773) as part of a larger programme of research.
METHODS:
We report an online survey of current practice in the United Kingdom, approved by the British Orthopaedic Foot and Ankle Society and completed by 181 of its members. A total of ten of these respondents were invited for a subsequent one-to-one interview to explore clinician views on proposed further research in this area.
RESULTS:
The survey showed wide variations in practice, with patients being managed in plaster cast alone (13%), plaster cast followed by orthoses management (68%), and orthoses alone (19%). Within these categories, further variation existed regarding the individual rehabilitation facets, such as the length of time worn, the foot position within them and weight-bearing status. The subsequent interviews reflected this clinical uncertainty and the pressing need for definitive research.
CONCLUSIONS:
The gap in evidence in this area has resulted in practice in the United Kingdom becoming varied and based on individual opinion. Future high-quality randomised trials on this subject are supported by the clinical community. Cite this article: Bone Joint Res 2015;4:65-9.
©2015 The British Editorial Society of Bone & Joint Surgery.
KEYWORDS:
Achilles tendon; Orthotics; Plaster Cast; Rehabilitation; Rupture
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | Q Science > QM Human anatomy | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Achilles tendon -- Wounds and injuries, Rupture -- Rehabilitation | ||||||||
Journal or Publication Title: | Bone and Joint Research | ||||||||
Publisher: | British Editorial Society of Bone and Joint Surgery | ||||||||
ISSN: | 2046-3758 | ||||||||
Official Date: | April 2015 | ||||||||
Dates: |
|
||||||||
Volume: | Volume 4 | ||||||||
Number: | Number 4 | ||||||||
Page Range: | pp. 65-69 | ||||||||
DOI: | 10.1302/2046-3758.44.2000400 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 28 July 2016 | ||||||||
Date of first compliant Open Access: | 28 July 2016 | ||||||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year