Follow-up actions...

LIGADON

Fitting of an immobilising Velcro boot in slight equines position with immediate support for 45 days. The support enables good muscular trophicity to be maintained and venous complications avoided. The rehabilitation procedure is detailed in the rehabilitation programme below.

Rehabilitation programme for ruptures of the Achilles tendon

1. Immobilisation:

D to D+45	Permanent orthosis (support with 2 canes), then...
D+45 to D+67	1.5cm heel piece, then...
D+67 to D+90	0.75cm heel piece.

2. Rehabilitation:

D+15 to D+45	Scar massages to reduce fibrosis (1 day/2).
D+15 to D+45	Ice; non-steroidal anti-inflammatory drugs, if necessary.
D+45 to D+90	Amplitude in activity, unloaded and manual assistance.
	Appropriate isometric muscle work.
	Re-learning to walk.
	At the end of the phase, possibility of dynamic work unloaded.

No heavy work for 3 months

D + 90	Start of heavy work
	Proprioception

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