Achilles tendon rupture: surgical versus non-surgical treatment

Accident and Emergency Nursing
Richard M Lynch

Abstract

To ascertain the treatment method of choice for Achilles tendon rupture, which results in the most favourable functional outcome. A comprehensive literature search was performed to retrieve relevant English language articles comparing surgical with non-surgical treatment. The literature search identified five prospective randomised controlled trials, three of which compare surgical with non-surgical treatment, one which compares functional early mobilisation with cast immobilisation after surgical repair and one which compares functional and cast immobilisation in non-surgical management of Achilles tendon rupture. Surgical treatment of Achilles tendon rupture is associated with a significantly lower incidence of re-rupture and therefore is the treatment method of choice. Non-surgical treatment may be acceptable for patients who refuse surgery or who are unfit for surgery. Functional early mobilisation appears to be associated with an improved functional outcome and should be considered in preference to plaster cast immobilisation where appropriate.

References

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Citations

Oct 15, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Iris ReuterMartin Engelhardt
Oct 3, 2014·Journal of the American Podiatric Medical Association·Cem Zeki EsenyelZeynep N Tekin
Mar 10, 2016·Journal of Orthopaedics·Athanasios N VerveridisKonstantinos I Kazakos
Jul 9, 2008·Disability and Rehabilitation·Ananthan Dave EbinesanNicola Maffulli
Jan 29, 2016·Orthopedics·Jiasharete JielileJianati Wuerliebieke
Jul 26, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Daniel K-I BringPaul W Ackermann
Nov 15, 2016·Current Sports Medicine Reports·Steven F DeFrodaStephen A Klinge
Oct 28, 2006·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Daniel K-I BringPaul W Ackermann
Feb 3, 2007·Journal of Materials Science. Materials in Medicine·M A SuckowM C Hiles
Jul 28, 2010·Journal of the American Podiatric Medical Association·Shay TenenbaumAhron Chechik
Jun 19, 2013·Critical Care Medicine·Paul T EngelsHomer C Tien
Apr 25, 2012·International Journal of Food Sciences and Nutrition·M B LinaresH Vergara
Oct 30, 2007·Acta Orthopaedica·Björn PasternakPer Aspenberg

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