February 17, 2019

Rupture Score (ATRS), was tested for validity, structure, and internal consistency .. Leppilahti J, Forsman K, Puranen J, Orava S. Outcome and prognos-. The Leppilahti score is made up of subjective factors (pain, stiffness, muscle weakness, footwear restriction and subjective outcome) and. and Ankle Society (AOFAS) score at 6 months was 98, with 42 patients having excellent and four patients good Leppilahti scores. The average time to return to .

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Described by Martin et al. Are you limited during activities that include running? J Bone Joint Surg Am.

Outcome evaluation after Achilles tendon ruptures. A review of the literature

These results show however that maximal dorsiflexion on the long term is only slightly compromised. Create a free website or blog at WordPress. Compensatory muscle activation caused by tendon lengthening post-Achilles tendon rupture. In several studies strength measurements obtained through dynamometry were used to evaluate outcome after surgical and conservative treatment of ATR 21 — Articles from Joints are provided here courtesy of Thieme Medical Publishers.

Table 1 Clinical results as measured by range of motion ROMplantarflexion strength, and Leppilahti score. Foot and Ankle Int.


SLR – March 2012 – Adam Caton

Are you limited when walking on uneven surfaces? The Health Institute; Boston: These apparently conflicting data suggest that the assessment technique is probably an important factor influencing the validity of calf muscle size as leppilati outcome for evaluating recovery after ATR. This test has been shown to be reliable, valid and responsive in patients with ATR 30 Health Qual Life Outcomes.

Some difficulty on uneven terrain, stairs, inclines, ladders.

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Poor, nonplantigrade foot, severe malalignment, symptoms. Ability to perform activity with your normal technique.

However, this loss of strength did not result in any clinical complaints in most of the cases. In two patients the re-rupture was due to a fall in the first six weeks of rehabilitation. Tension of this unit is also necessary for the healing of muscle fibers. This was done in 3 position of the ankle joint; maximal dorsiflexion, 90 degrees position, and half way of total plantarflexion.

Of all the cited tools, the Achilles tendon Total Rupture Score ATRS was the only one developed using recognized methodology for outcome measure development 5.

Activities of Daily Living Subscale.

Described by Leppilahti et al. Ankle range of motion Measurements of joint ROM are common both in clinical and in research settings.


A survey of self-reported outcome instruments for the foot and ankle. J Bone Joint Surg Am.

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Currently there exists no clear definition and no validated outcome measure for tendon elongation. This report is a retrospective analysis of the incidence of re-rupture of all Achilles tendon ruptures repaired percutaneously in Diakonessenhuis, Netherlands and the outcomes after open repair.

Br J Sports Med. Surgical treatment of acute Achilles tendon ruptures significantly reduces the risk of re-rupture compared with non-surgical treatment, but produces significantly higher risks of other complications, including wound infection [1].

The best choice of outcome tools for reporting the wcore of treatment in patients with foot and ankle disorders remains uncertain. Assessment and outcome measures. This approach will eventually allow comparisons and meta-analysis of high quality randomized controlled trials.

The AOFAS developed its Ankle-Hindfoot Scale inin order to provide a universally accepted outcome measure for comparing different methods of treatment in patients with hindfoot problems 40 Tab.