Achilles tendon gait dynamics after rupture: A three-armed randomized controlled trial comparing an individualized treatment algorithm vs. operative or non-operative treatment
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Achilles tendon gait dynamics after rupture : A three-armed randomized controlled trial comparing an individualized treatment algorithm vs. operative or non-operative treatment. / Hansen, Maria Swennergren; Bencke, Jesper; Kristensen, Morten Tange; Kallemose, Thomas; Hölmich, Per; Barfod, Kristoffer Weisskirchner.
In: Foot and Ankle Surgery, Vol. 29, No. 2, 2023, p. 143-150.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Achilles tendon gait dynamics after rupture
T2 - A three-armed randomized controlled trial comparing an individualized treatment algorithm vs. operative or non-operative treatment
AU - Hansen, Maria Swennergren
AU - Bencke, Jesper
AU - Kristensen, Morten Tange
AU - Kallemose, Thomas
AU - Hölmich, Per
AU - Barfod, Kristoffer Weisskirchner
N1 - Publisher Copyright: © 2022 The Authors
PY - 2023
Y1 - 2023
N2 - Background: Individual treatment selection has been proposed as the key to optimized treatment. The purpose was to investigate if treatment selection using the individualized treatment algorithm Copenhagen Achilles Rupture Treatment Algorithm (CARTA) differs between patients treated as usual regarding gait dynamics and tendon elongation. Methods: The patients were randomized to one of three parallel groups: 1) intervention group: participants treated according to CARTA, 2) control group: participants treated non-operatively, 3) control group: participants treated operatively. The primary outcome was ankle peak power during push off during walking at 12 months. Results: 156 patients were assessed for eligibility. 21 were allocated to the intervention group, and 20 and 19 to the control groups. The results indicated no statistically significant differences between the intervention group and the control groups. Conclusions: Individualized treatment selection based on CARTA did not demonstrate less affected gait dynamics or less tendon elongation than patients treated as usual.
AB - Background: Individual treatment selection has been proposed as the key to optimized treatment. The purpose was to investigate if treatment selection using the individualized treatment algorithm Copenhagen Achilles Rupture Treatment Algorithm (CARTA) differs between patients treated as usual regarding gait dynamics and tendon elongation. Methods: The patients were randomized to one of three parallel groups: 1) intervention group: participants treated according to CARTA, 2) control group: participants treated non-operatively, 3) control group: participants treated operatively. The primary outcome was ankle peak power during push off during walking at 12 months. Results: 156 patients were assessed for eligibility. 21 were allocated to the intervention group, and 20 and 19 to the control groups. The results indicated no statistically significant differences between the intervention group and the control groups. Conclusions: Individualized treatment selection based on CARTA did not demonstrate less affected gait dynamics or less tendon elongation than patients treated as usual.
KW - Achilles tendon rupture
KW - Gait dynamics
KW - Individualized treatment
KW - Tendon elongation
KW - Ultrasound
U2 - 10.1016/j.fas.2022.12.006
DO - 10.1016/j.fas.2022.12.006
M3 - Journal article
C2 - 36528540
AN - SCOPUS:85144805899
VL - 29
SP - 143
EP - 150
JO - Foot and Ankle Surgery
JF - Foot and Ankle Surgery
SN - 1268-7731
IS - 2
ER -
ID: 335096061