Higher rate of compensation after surgical treatment versus conservative treatment for acute Achilles tendon rupture.

INTRODUCTION: Acute Achilles tendon rupture (ATR) can be treated either surgically or non-surgically. High-quality meta-analyses show a lower re-rupture rate, but a higher overall complication rate among surgically treated patients. No studies have evaluated the socio-economic impact of different complications. The aim of this study was to investigate: 1) the socio-economic impact of complications after ATR through the utilisation of the Danish Patient Insurance Association (DPIA) database, 2) correlations between treatment and complications.

METHODS: A total of 324 patients with ATR reported in the period from 1992 to 2010 in the DPIA database were identified and patient records were reviewed manually.

RESULTS: The compensation awarded for the 18-year period totalled 18,147,202 DKK with 41% of patient claims being recognised. Out of 180 surgically treated patients, 79 received a total compensation of 14,051,377 DKK, median 47,637 (range: 5,000-3,577,043). Of 114 non-surgically treated patients, 40 received 3,715,224 DKK in compensation, with a median amount of 35,788 DKK (range: 5,000-830,073).

CONCLUSION: Compensation after surgical treatment was 3.8 times higher than compensation after non-surgical treatment. It is noteworthy that 34.5% of patients had an overlooked diagnosis which underlines the importance of a correct primary diagnosis.

FUNDING: not relevant.

TRIAL REGISTRATION: not relevant.