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  • Talk
  • UK

Changing Clinical Practice 2020

Description

The webinar features Matt Costa discussing the advancements in orthopaedic and trauma research in the UK, particularly focusing on the UK STAR trial addressing Achilles tendon ruptures. Costa reflects on the increasing variety of clinical trials over the past decade, emphasizing their significance for improving clinical practices. He introduces the UK STAR trial, citing widespread involvement from healthcare professionals across the country.



Costa elaborates on the significance of Achilles tendon injuries, which not only affect professional athletes but also impact the quality of life for active individuals, particularly in their late 40s. He outlines the need for effective rehabilitation protocols, referencing the inadequacies of existing guidelines, particularly for non-operatively treated patients.



The trial compared traditional equinus plastic casting with immediate weight-bearing mobilization using a rigid orthotic, focusing on recovery outcomes measured by the Achilles Tendon Rupture Score, health-related quality of life, and re-rupture rates. Recruitment strategies proved successful, engaging 542 participants that revealed promising initial outcomes for the brace group, indicating early functional benefits.



Despite initial advantages, the data suggested no long-term significance between treatment outcomes after three months, leading to critical discussions on the importance of rehabilitation methodologies post-brace removal. Costa concluded by acknowledging the trial's potential cost-effectiveness and its role in encouraging a shift away from traditional casting approaches, thereby promoting faster recovery rates and reduced healthcare costs. The discussion transitions to a question-and-answer format, addressing practical implications and future applications of the trial data.

DOI: 10.1302/3114-210107

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