Individualized Treatment of Acute Achilles Tendon Rupture

  • End date
    Nov 15, 2021
  • participants needed
  • sponsor
    Central Jutland Regional Hospital
Updated on 23 January 2021


To asses the functional outcome after individualized treatment of acute achilles tendon rupture. The treatment is individualizes on the basis of ultrasonographic status of tendon overlap and Barfod's Ultrasonographic length measure. Patients are allocated for operative treatment if there the tendon overlap is less than 25 % or the tendon is elongated with 7% or more compared to the healthy, contralateral achilles tendon.

The study includes two control groups of non-operative and operative treatment.

Condition Achilles Tendon Rupture
Treatment Non-operative treatment, Operative treatment, Individualized treatment of Acute Achilles tendon rupture.
Clinical Study IdentifierNCT03525964
SponsorCentral Jutland Regional Hospital
Last Modified on23 January 2021


Yes No Not Sure

Inclusion Criteria

Appointment in the Outpatients Department within 4 days of injury
Total Achilles tendon rupture
Initial treatment with split cast with the ankle in maximal plantar flexion must be started within 24 hours of injury
The patient must be expected to be able to attend rehabilitation and post-examinations
The patient must be able to speak and understand Danish
The patient must be able to give informed consent

Exclusion Criteria

Rupture of the Achilles tendon either at the insertion on the calcaneus or at musculotendinous junction of the triceps surae
Previous rupture of the Achilles tendon in any of the two legs
Treated with Fluoroquinolones or corticosteroids within the last 6 months
In medical treatment of diabetes
Suffers from rheumatic disease
Other conditions prior to the injury resulting in reduced function of any of the two legs
Contra-indication for surgery: severe arthrosclerosis with no palpable pulse in the foot, broken skin in the Achilles region of the injured leg
Inability to lie in prone position on the operating table
Terminal illness or severe medical illness: ASA (American Society of Anesthesiologists) score higher than or equal to 3
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