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Rehabilitation after Achilles tendon repair has gradually shifted from prolonged immobilisation toward earlier controlled loading. This randomized trial compared an accelerated programme with a traditional postoperative rehabilitation protocol after surgical repair. The accelerated group returned to running more quickly and showed less tendon lengthening, while overall Achilles tendon rupture scores were similar between groups at one year. These findings are relevant because excessive immobilisation may delay recovery without clearly improving the final result. For HCPs, the study supports a carefully supervised rehabilitation pathway that introduces controlled movement and loading earlier while protecting the repair. The goal is not unrestricted activity immediately after surgery; progression still needs to respect tendon biology and surgical technique. A modern protocol can reduce functional delays without compromising the end result in appropriately selected patients. The paper also highlights why outcome assessment should include both patient-reported function and objective markers such as tendon elongation and return to running. For surgeons and physiotherapists, coordinated rehabilitation planning is therefore an integral part of the operation rather than an afterthought.
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Rehabilitation after Achilles tendon repair has gradually shifted from prolonged immobilisation toward earlier controlled loading. This randomized trial compared an accelerated programme with a traditional postoperative rehabilitation protocol after surgical repair. The accelerated group returned to running more quickly and showed less tendon lengthening, while overall Achilles tendon rupture scores were similar between groups at one year. These findings are relevant because excessive immobilisation may delay recovery without clearly improving the final result. For HCPs, the study supports a carefully supervised rehabilitation pathway that introduces controlled movement and loading earlier while protecting the repair. The goal is not unrestricted activity immediately after surgery; progression still needs to respect tendon biology and surgical technique. A modern protocol can reduce functional delays without compromising the end result in appropriately selected patients. The paper also highlights why outcome assessment should include both patient-reported function and objective markers such as tendon elongation and return to running. For surgeons and physiotherapists, coordinated rehabilitation planning is therefore an integral part of the operation rather than an afterthought.
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