Plaidoyer pour une mobilisation précoce dans les ruptures du tendon calcanéen opérées

This work puts forward a quick program of rehabilitation for operated Achilles' tendons. From a review of the literature, we call back the following in the rehabilitation of tendinous ruptures over a period of 25 years. We insist on the interest of such a method in order to improve the overall care of the patients. There are many theoretical benefits such as a better scar on biomechanical aspects, quicker articular amplitudes, less complication due to immobilization, less physical therapy sessions, a quick return to physical and professional activities. To train such mobilizations, different devices are used either articulated splints close to the instep, or anterior/posterior plastered splints of the leg. Whatever device has been chosen, it allows gentle mobilizations of the ankle while protecting the surgical act by locking the dorsal flexion of the foot. This kind of therapy must be appropriate to the patient and be especially supervised by PMR doctors in order to avoid a repeated rupture which is the main complication.