{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:05:33Z","timestamp":1777615533595,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2010,12,1]],"date-time":"2010-12-01T00:00:00Z","timestamp":1291161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>Rerupture after treatment of acute Achilles tendon rupture is considered a serious complication. Yet data on long-term outcome after rerupture are limited. This study evaluated outcome after rerupture and compares it to a reference of uncomplicated cases. Thirteen patients with a rerupture following minimally invasive surgical Achilles tendon rupture repair were evaluated using Leppilahti score and resumption of work and sport. Mean follow-up was 8.7 years. Results were compared with a reference group of 23 uncomplicated cases with a follow-up of at least 1 year. The study was designed as a follow-up study. The relative risk for a fair\/poor outcome by Leppilahti score after a rerupture when compared with uncomplicated cases is 2.83 (95% confidence interval = 1.17-6.87; P = .0185). Although rerupture did not affect ultimate resumption of professional life, the relative risk for quitting sport or resuming sport at a lower level after a rerupture is 3.33 (95% confidence interval = 1.71-6.51; P = .0001). In contrast, the plantar flexion strength deficit is 5% to 10% in the rerupture group and up to 20% in the reference group. Despite sufficient recovery of calf muscle strength, rerupture after acute Achilles tendon rupture treatment results in significant long-term functional disabilities.<\/jats:p>\n                  <jats:p>Level of Evidence: Prognostic, Level II<\/jats:p>","DOI":"10.1177\/1938640010388412","type":"journal-article","created":{"date-parts":[[2010,12,1]],"date-time":"2010-12-01T22:06:04Z","timestamp":1291241164000},"page":"77-81","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Persistent Disability Despite Sufficient Calf Muscle Strength After Rerupture of Surgically Treated Acute Achilles Tendon Ruptures"],"prefix":"10.1177","volume":"4","author":[{"given":"Roderik","family":"Metz","sequence":"first","affiliation":[{"name":"Department of Surgery, Diakonessenhuis,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geert J. M. G.","family":"van der Heijden","sequence":"additional","affiliation":[{"name":"Julius Centre for Health Sciences and Primary Care, University Medical Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Egbert-Jan M. M.","family":"Verleisdonk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Diakonessenhuis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Andrlik","sequence":"additional","affiliation":[{"name":"SMC Medicort, Centre for Sports Physiotherapy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiaan","family":"van der Werken","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Medical Centre (CvdW), Utrecht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,12,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/BF03181110","volume":"8","author":"Bijlsma TS","year":"2000","journal-title":"Orthop Traumatol"},{"issue":"3","key":"atypb2","first-page":"CD003674","author":"Khan RJ","year":"2004","journal-title":"Cochrane Database Syst Rev."},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200211000-00017"},{"key":"atypb4","first-page":"175","volume":"140","author":"Scott WN","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"atypb5","first-page":"247","volume":"128","author":"Ma GW","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199801000-00022"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508319312"},{"key":"atypb8","volume-title":"Modern Epidemiology","author":"Rothman KJ","edition":"2"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-8-108"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2002.120103.x"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640010388412","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640010388412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:31:39Z","timestamp":1777411899000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640010388412"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12,1]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1177\/1938640010388412"],"URL":"https:\/\/doi.org\/10.1177\/1938640010388412","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12,1]]}}}