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MONDAY, Feb. 10, 2020 (HealthDay News) — Traditional plaster casting is not superior to a functional brace in patients being treated nonoperatively for Achilles tendon rupture, according to a study published in the Feb. 8 issue of The Lancet<\/i>.<\/p>\n
Matthew L. Costa, Ph.D., from the University of Oxford in the United Kingdom, and colleagues randomly assigned (1:1) U.K. patients (aged \u226516 years) who were being treated non-operatively for a primary Achilles tendon rupture at 39 hospitals to receive either a plaster cast (266 patients) or functional brace (274 patients) for eight weeks. The authors evaluated outcomes at nine months.<\/p>\n
The researchers observed no difference in patient-reported Achilles tendon rupture score at nine months post injury (adjusted mean difference, \u22121.38; 95 percent confidence interval, \u22124.9 to 2.1; P = 0.44). Additionally, there was no difference noted in the rate of re-rupture of the tendon (6 percent in the plaster cast group and 5 percent in the functional brace group; P = 0.40). The mean total health and personal social care costs were \u00a31,181 and \u00a31,078 for the plaster cast group and the functional brace group, respectively (mean between-group difference, \u2212\u00a3103; 95 percent confidence interval, \u2212289 to 84).<\/p>\n
“Clinicians may consider the use of early weight-bearing in a functional brace as a safe and cost-effective alternative to plaster casting,” the authors write.<\/p>\n
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