# PROPOSAL FOR A REHABILITATION PROTOCOL AFTER CALCANEAL TENDON RECONSTRUCTION: FROM THE IMMEDIATE POST-OPERATIVE PERIOD TO RETURN TO SPORTS PRACTICE

**Authors:** Flavia Cursino de Vicente, Georgia Melges de Souza, Cleidneia Aparecida Clemente, Perola Grinberg Plapler

PMC · DOI: 10.1590/1413-785220253306e292035 · Acta Ortopedica Brasileira · 2025-11-10

## TL;DR

This paper proposes a rehabilitation protocol for patients recovering from calcaneal tendon reconstruction, aiming to safely return to sports.

## Contribution

A literature-based rehabilitation protocol for post-surgery recovery of calcaneal tendon injuries is proposed.

## Key findings

- The proposed protocol has minimal risk of damaging the surgical site regardless of surgical technique.
- The protocol is based on tissue regeneration physiology and 20 years of literature review.

## Abstract

The calcaneal tendon is the strongest tendon in the human body, and therefore the most commonly injured in the lower limbs. The aim of this study is to present a rehabilitation protocol, based on the literature, according to the physiology of tissue regeneration in the postoperative period of acute rupture of the calcaneal tendon, carried out through a bibliographic survey of the last 20 years and proposed by the Physiotherapy Service of the Institute of Orthopaedics and Traumatology of the Hospital das Clínicas of the University of São Paulo. The findings demonstrated that, despite the differences in surgical techniques, the proposed rehabilitation protocol presents minimal risk of damage to the surgical site. 
Level of Evidence III; Systematic Review
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## Full-text entities

- **Diseases:** rupture of the calcaneal tendon (MESH:D012421)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

36 references — full list in the complete paper: https://tomesphere.com/paper/PMC12599820/full.md

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Source: https://tomesphere.com/paper/PMC12599820