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surgical versus nonsurgical Achilles treatment acute

Senlin Deng, Zhengyu Sun, Chenghao Zhang, Gang Chen, Jian Li
Acute Achilles tendon ruptures can be treated with surgical and nonsurgical treatment. However, the optimal intervention for acute Achilles tendon rupture remains controversial. The aim of the present study was to compare the clinical outcomes of surgical treatment versus conservative management for acute Achilles tendon rupture. Eight randomized controlled studies involving 762 patients were included in the meta-analysis. In general, re-rupture occurred in 14 of 381 surgically treated patients (3.7%) and 37 of 377 nonsurgically treated patients (9...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Jeremy N Truntzer, Brian Triana, Alex H S Harris, Laurence Baker, Loretta Chou, Robin N Kamal
BACKGROUND: Outcomes of nonsurgical management of acute Achilles tendon rupture have been demonstrated to be noninferior to those of surgical management. We performed a cost-minimization analysis of surgical and nonsurgical management of acute Achilles tendon rupture. METHODS: We used a claims database to identify patients who underwent surgical (n = 1,979) and nonsurgical (n = 3,065) management of acute Achilles tendon rupture and compared overall costs of treatment (surgical procedure, follow-up care, physical therapy, and management of complications)...
June 2017: Journal of the American Academy of Orthopaedic Surgeons
Iikka Lantto, Juuso Heikkinen, Tapio Flinkkila, Pasi Ohtonen, Pertti Siira, Vesa Laine, Juhana Leppilahti
BACKGROUND: The optimal treatment of acute Achilles tendon ruptures for active patients is under debate. PURPOSE: To compare clinical outcomes and calf muscle strength recovery after the nonsurgical treatment and open surgical repair of acute Achilles tendon ruptures with identical accelerated rehabilitation programs. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: From 2009 to 2013, a total of 60 patients with an acute Achilles tendon rupture were randomized to surgery or nonsurgical treatment...
September 2016: American Journal of Sports Medicine
Annunziato Amendola
OBJECTIVE: To compare the outcomes (reruptures and other complications, strength, and return to work) of open surgical repair of acute Achilles tendon ruptures with nonoperative management, by means of a meta-analysis of the results of randomized controlled trials (RCTs). DATA SOURCES: The online search using words related to management of Achilles tendon rupture included MEDLINE, PubMed, the Cochrane Database of Systematic Reviews, and the American College of Physicians Journal Club...
January 2014: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Nicklas Olsson, Karin Grävare Silbernagel, Bengt I Eriksson, Mikael Sansone, Annelie Brorsson, Katarina Nilsson-Helander, Jón Karlsson
BACKGROUND: The optimal treatment for acute Achilles tendon ruptures is still a subject of debate. Early loading of the tendon is a factor that has been shown to be beneficial to recovery and to minimize complications. The main outcome of previous studies has been complications such as reruptures and deep infections, without focusing on the functional outcome relevant to the majority of patients who do not experience these complications. PURPOSE: To evaluate whether stable surgical repair and early loading of the tendon could improve patient-reported outcome and function after an acute Achilles tendon rupture...
December 2013: American Journal of Sports Medicine
Alexandra Soroceanu, Feroze Sidhwa, Shahram Aarabi, Annette Kaufman, Mark Glazebrook
BACKGROUND: Surgical repair is a common method of treatment of acute Achilles rupture in North America because, despite a higher risk of overall complications, it has been believed to offer a reduced risk of rerupture. However, more recent trials, particularly those using functional bracing with early range of motion, have challenged this belief. The aim of this meta-analysis was to compare surgical treatment and conservative treatment with regard to the rerupture rate, the overall rate of other complications, return to work, calf circumference, and functional outcomes, as well as to examine the effects of early range of motion on the rerupture rate...
December 5, 2012: Journal of Bone and Joint Surgery. American Volume
Peter R Donaldson
No abstract text is available yet for this article.
March 2012: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Giselle Tan, Brian Sabb, Anish R Kadakia
Incidence of Achilles tendon injury has increased as people continue to be active in their later years. Although acute rupture of the Achilles tendon is most commonly diagnosed using history and physical examination, improvements in magnetic resonance and ultrasound imaging have led to their routine use in evaluating these injuries. Non-operative versus operative management of acute Achilles tendon ruptures has been the subject of much controversy in the current literature, especially in light of non-operative treatment with functional bracing...
December 2009: Foot and Ankle Clinics
S Riedl, L Sandberger, K Nitschmann, P J Meeder
INTRODUCTION: The open repair of the acute Achilles' tendon rupture reduces the incidence of rerupture compared with nonsurgical treatment; however, it yields more surgical complications. Early mobilization of the patients improves the postoperative outcome. Percutaneous suture techniques have a low incidence of rerupture and improve the conditions for early mobilization. METHODS: This study includes all patients (n = 97) with acute subcutaneous rupture of the Achilles' tendon with surgical treatment at the University of Heidelberg from 1992 to 1999...
June 2002: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
M Fahlström, U Björnstig, R Lorentzon
All patients with badminton-related acute Achilles tendon ruptures registered during 1990 to 1994 at the University Hospital of Umeå were retrospectively followed up using a questionnaire. Thirty-one patients (mean age, 36.0 years), 27 men and 4 women, were included. Thirty patients (97%) described themselves as recreational players or beginners. The majority of the injuries (29 of 31, 94%) happened at the middle or end of the planned game. Previous local symptoms had been noticed by five patients (16%). Long-term results showed that patients treated with surgery had a significantly shorter sick leave absence than patients treated without surgery (50 versus 75 days)...
May 1998: American Journal of Sports Medicine
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