Review ArticlesPostoperative Rehabilitation Following Achilles Tendon Repair: A Systematic ReviewGould, Heath P. MD*; Bano, Joseph M. MS†; Akman, Jennifer L. PT, DPT‡; Fillar, Allison L. MD* Author Information *MedStar Union Memorial Hospital, Baltimore, MD †Georgetown University School of Medicine ‡MedStar National Rehabilitation Hospital, Washington, DC Disclosure: The authors declare no conflict of interest. Reprints: Heath P. Gould, MD, Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218. Sports Medicine and Arthroscopy Review: June 2021 - Volume 29 - Issue 2 - p 130-145 doi: 10.1097/JSA.0000000000000309 Buy SDC Metrics Abstract The optimal postoperative management of Achilles tendon (AT) rupture remains unknown. The past 2 decades have witnessed a trend toward less rigid immobilization, earlier weightbearing, and accelerated functional rehabilitation postoperatively. The objective of this study was to identify all high-quality studies pertaining to rehabilitation after AT repair and characterize the various rehabilitation protocols that have been described. A systematic review of the English-language literature was performed according to PRISMA guidelines. All included studies represented level 1, 2, or 3 evidence and examined postoperative rehabilitation protocols following the repair of an acute AT rupture. A total of 1187 subjects were included. Surgical technique, rehabilitation protocol, and outcome assessment varied widely between studies. Early postoperative weightbearing with less rigid immobilization appears to accelerate short-term functional recovery. An aggressive rehabilitation program may also be advantageous in the short term, but further studies are needed to determine the long-term effects of these accelerated physical therapy and return-to-play protocols. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.