1. Factors Affecting Return to Sports after Achilles Tendon Repair.
- Author
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Tanaka, R., Imaya, T., Sanada, T., Fukai, A., Honda, E., Inagawa, M., Fujishima, R., Nakayama, S., and Shida, S.
- Abstract
(Purpose) The aim of this study was to examine the factors involved and status of return to sports after Achilles tendon repair. (Subjects and Methods) The subjects were 118 patients (mean age 39.6 ± 12.2 years) who underwent unilateral Achilles tendon repair for the first time between 2017 and 2019. Subjects had participated in regular sports activities before the surgery. Post-surgery follow-up was possible for up to 9 months. Besides age and body mass index (BMI), various factors like post-operative single-leg heel-rise height index (HRHI), Achilles tendon resting angle (ATRA), the ratio of the presence or absence of pain in each group and the start time of obtaining movement (Movement) were examined. The factors affecting return to sports were examined by multiple logistic regression analysis, and their cutoff values were obtained. (Results) The results showed that the return to sports rate was 79.7%. Other items than age, including Movement, all showed significant differences between the two groups. Factors that affected return to sport were BMI and HRHI. For BMI, the odds ratio was 0.85 and the cutoff value was 24.5 kg/m². For HRHI, the odds ratio was 1.05, and the cutoff value was 86.7%. (Conclusion) The ratio of return to sports after Achilles tendon repair at our hospital was approximately 80%, which is a good result. To return to sports it is necessary to have adequate HRHI and to perform rehabilitation in consideration of BMI, pain generation, and ATRA. [ABSTRACT FROM AUTHOR]
- Published
- 2023