Results of surgical versus non-surgical treatment of Achilles tendon rupture

International Orthopaedics
Henrica M J van der Linden-van der ZwaagJan B Sintenie

Abstract

Between 1990 and 2001, 292 patients with acute Achilles tendon rupture were admitted to our institution. Depending on the day of admission patients were allocated either to the Department of Trauma Surgery or to the Department of Orthopaedics. Two hundred and twelve patients (mean age 37+/-9.4 years) were treated with surgical suture followed by plaster for 6 weeks. Eighty patients were treated non-surgically with splinting for 12 weeks. For both groups mean follow-up was 6+/-3 years. There were 14 re-ruptures, ten after surgical repair and four after non-surgical treatment. In the surgical group there were seven major wound problems, 11 minor wound complications and six patients with complaints from the sural nerve. In the non-surgical group one patient suffered a pulmonary embolism after a re-rupture, 3 months after the initial rupture. There was no difference in mean ankle score and patient-satisfaction score between groups. Only 52% regained their original sports activity level, slightly better in the surgically treated group. With a non-significant difference in re-rupture rate but relatively more complications after surgical repair, non-surgical treatment is preferred. With a slightly better recovery of sports activity af...Continue Reading

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Citations

May 23, 2008·International Orthopaedics·Mayukh Bhattacharyya, Bruno Gerber
Aug 22, 2009·International Orthopaedics·Julien WegrzynJean-Luc Besse
Sep 18, 2007·Archives of Orthopaedic and Trauma Surgery·Atesch AteschrangKuno Weise
Apr 3, 2009·Archives of Orthopaedic and Trauma Surgery·Felix NeumayerXavier Crevoisier
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Joshua A MetzlWilliam N Levine
Oct 24, 2013·Current Reviews in Musculoskeletal Medicine·David Pedowitz, Greg Kirwan
Jul 21, 2011·Musculoskeletal Surgery·Maurizio ValenteGiovanni Frezza
Mar 25, 2016·The Indian Journal of Surgery·Yunhan JiLi Chen
Feb 3, 2007·Journal of Materials Science. Materials in Medicine·M A SuckowM C Hiles
Mar 10, 2016·Journal of Orthopaedics·Athanasios N VerveridisKonstantinos I Kazakos
Mar 17, 2015·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Murat KorkmazFatih Karaaslan
Jul 7, 2009·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Bernd HohendorffLukas Staub
Aug 30, 2008·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Bernd HohendorffAndreas Boss
Jun 25, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Hakan SarmanCengizhan Kantar
Sep 20, 2011·Foot & Ankle Specialist·Peter Highlander, Robert M Greenhagen
Dec 4, 2012·Foot & Ankle International·Jiasharete JielileJingping Bai
Nov 11, 2017·BMC Musculoskeletal Disorders·Ana P ValenciaRichard M Lovering
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Amar A SuchakNadr M Jomha
Jan 1, 2014·International Scholarly Research Notices·Abdelsalam Eid
Sep 9, 2010·The Cochrane Database of Systematic Reviews·Riaz Jk Khan, Richard L Carey Smith

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