Comparing a New Two-Layer Surgery to Standard Non-Surgical Treatment for Achilles Tendon Rupture Recovery with One-Year Follow-Up

What this Trial Is About

This clinical trial investigates a new two-layer surgical technique to restore the anatomy of a ruptured mid-substance Achilles tendon. The study compares this surgical method followed by rehabilitation with a standard non-surgical treatment followed by rehabilitation. The research aims to find out how these approaches affect clinical outcomes, muscle and tendon structure, and function after one year. Participants are randomly assigned to one of two groups NEWSUR, which receives the new two-layer surgical technique with a detailed rehabilitation program, or CONSER, which receives the standard non-surgical treatment followed by rehabilitation. The surgical technique involves a double row suturing aiming to restore the length of the soleus and gastrocnemius parts of the tendon. During the study, participants will be evaluated on the Achilles tendon Total Rupture Score ATRS at one year. Additional assessments include physical activity levels, patient satisfaction, muscle strength, range of motion, imaging tests like MRI and ultrasonography, and functional tests such as heel-rise and vertical jump performance. These evaluations will occur at various time points, mainly at 26 weeks and one year, to monitor recovery and function.

Restoring Anatomy of Ruptured Achilles Tendon