Abstract：
Surgical repair of acute mid-substance Achilles tendon ruptures is performed in active patients, but the postoperative rehabilitation program is often based on the experience of the surgeon or therapist, rather than on evidence-based protocols. The aim of the study is to establish an evidence-based protocol for rehabilitation. This study is a consensus statement. The \"GAIT\" study group (German, American, and Italian Tendon), an informal collection of 4 experienced foot and ankle surgeons, met to address the question of what items they felt were important relative to rehabilitate a surgically repaired Achilles tendon acute rupture. Thirty-three statements were formulated. A value of 100% agreement by all the members was set to produce a proposed consensus statement. A value of 80% consensus was set to produce \"strong recommendation.\" A systematic review of the literature was also performed. The GAIT group reach 100% agreement on the average postoperative non-weightbearing for 2.3 weeks, the foot in plantarflexion for the first 4 weeks, avoiding ROM exercises beyond neutral, and both stretching and eccentric exercise, not started before 12 weeks. Concentric bilateral heel raises should be performed after 6 weeks, and the average return to initiate sports, was 24.4 weeks. The use of a 1/8th-1/4th inch heel cushions in daily shoes after 8 weeks, the use of an antigravity treadmill for rehabilitation, and the return to sports based on heel raise repetitions is strongly recommended. Given lack of established verified protocols, the recommendations by our experienced panel should be considered. These proposed consensus statements could be used as a basis for larger controlled trials, and develop best practices.
摘要：
急性中质跟腱断裂的手术修复是在活跃患者中进行的，但是术后康复计划通常基于外科医生或治疗师的经验，而不是基于证据的协议。该研究的目的是建立基于证据的康复方案。这项研究是一个共识声明。“GAIT”研究组(德语，美国人,和意大利肌腱)，由4位经验丰富的足踝外科医生组成的非正式集合,会议解决了他们认为哪些项目对于修复手术修复的跟腱急性断裂很重要的问题。起草了33份声明。所有成员都设定了100％同意的值，以产生拟议的共识声明。80%的共识值被设置为产生“强烈推荐”。“还对文献进行了系统回顾。GAIT组在术后平均不负重2.3周达到100%的一致性，在最初的4周脚底弯曲，避免超出中立的ROM练习，伸展运动和古怪运动，在12周之前没有开始。应在6周后进行同心的双侧脚跟抬高，以及发起体育运动的平均回报，是24.4周。8周后在日常鞋子中使用1/8-1/4英寸鞋跟垫，使用反重力跑步机进行康复，和回归运动的基础上提高脚跟重复强烈建议。鉴于缺乏既定的经过验证的协议，应该考虑我们经验丰富的小组的建议。这些建议的共识声明可以作为更大的对照试验的基础，并制定最佳实践。
