{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T21:59:21Z","timestamp":1793311161297,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Treatment of Achilles tendon rupture has long been at the center of debate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>A new technique in surgical Achilles tendon repair allows for more stability and earlier rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred Achilles tendon rupture patients (70 men, 30 women; age range, 16-54 years; mean age, 32 years) were treated by a newly modified method of repair. Twenty-one of these patients were high-level athletes, and 79 were recreational-level athletes. The average length of follow-up was 2.4 years (range, 1-6.3 years), and none of the ruptures included avulsion fractures. After adjusting the tendon to an adequate length using a Tsuge suture, each fibrous bundle was gathered in a longitudinal direction and fixed with a Bunnell-type suture. The same postoperative physical therapy protocol was applied to all patients: at 1 week, early full weightbearing with a walking cast was initiated, and at 2 weeks, patients began range of motion (ROM) exercises and were instructed to wear a hinged ankle-foot orthosis that permitted full plantar flexion but limited full dorsiflexion. From 6 weeks, patients started practicing double-legged heel raises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At an average of 10 weeks, ankle ROM was comparable to that of the nonoperated leg, and double-legged heel raises were achieved at an average of 7.6 weeks. On average, patients were able to do 20 continuous single-legged heel-raising motions (equivalent to manual muscle testing grade 5) at 15.4 weeks, and jogging started at 12.3 weeks. High-level athletes returned to their original sports level at an average of 5 months. Two reruptures (2%) were experienced, but no other complications occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This surgical technique allows for strong repair stability and subsequent early weightbearing and ROM exercises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546507304492","type":"journal-article","created":{"date-parts":[[2007,7,20]],"date-time":"2007-07-20T20:59:25Z","timestamp":1184965165000},"page":"1739-1743","source":"Crossref","is-referenced-by-count":37,"title":["A Modified Operation for Achilles Tendon Ruptures"],"prefix":"10.1177","volume":"35","author":[{"given":"Eiji","family":"Uchiyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Nomura","sequence":"additional","affiliation":[{"name":"Kantoh Rosai Hospital, Kawasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Takeda","sequence":"additional","affiliation":[{"name":"Kantoh Rosai Hospital, Kawasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Hiranuma","sequence":"additional","affiliation":[{"name":"Kantoh Rosai Hospital, Kawasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Iwaso","sequence":"additional","affiliation":[{"name":"Kantoh Rosai Hospital, Kawasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"bibr1-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260061001"},{"key":"bibr2-0363546507304492","first-page":"240","volume":"23","author":"Bunnell S.","year":"1941","journal-title":"J Bone Joint Surg Am"},{"key":"bibr3-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000417"},{"key":"bibr4-0363546507304492","volume-title":"Worthington's Muscle Testing: Techniques of Manual Examination","author":"Hislop HJ","year":"1995"},{"key":"bibr5-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201210"},{"key":"bibr6-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1016\/0072-968X(73)90038-7"},{"key":"bibr7-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310051001"},{"key":"bibr8-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300403"},{"key":"bibr9-0363546507304492","first-page":"61","volume":"35","author":"Marti RK","year":"1983","journal-title":"Neth J Surg."},{"key":"bibr10-0363546507304492","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199907000-00011"},{"key":"bibr11-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200507"},{"key":"bibr12-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260060901"},{"key":"bibr13-0363546507304492","doi-asserted-by":"crossref","unstructured":"TsugeK., IkutaY., MatsuishiY.Intra-tendinous tendon suture in the hand: a new technique. Hand. 1975;7:250\u2013255.","DOI":"10.1016\/0072-968X(75)90062-5"},{"key":"bibr14-0363546507304492","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300041701"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546507304492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546507304492","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546507304492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:41:13Z","timestamp":1777369273000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546507304492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2007,10]]}},"alternative-id":["10.1177\/0363546507304492"],"URL":"https:\/\/doi.org\/10.1177\/0363546507304492","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10]]}}}