Acute Achilles Tendon Rupture

Bergkvist, Dan; Åström, Ingrid; Josefsson, Per Olof; Dahlberg, Leif

doi:10.2106/jbjs.j.01601

Cited by 35 publications

(10 citation statements)

References 8 publications

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“…For example, wound complications following surgical repair of Achilles tendon rupture has led to a resurgence in nonsurgical "functional rehabilitation." 8,43,80,88 With these factors in mind, we have developed a list of standardized definitions (Appendix C, available online at http://fai.sagepub.com/supplemental) and a worksheet ( Figure 3) that could be incorporated into the submission process for outcomes research on total ankle arthroplasty. We propose that researchers could standardize and improve their reporting of adverse events by adhering to these definitions and completing the worksheet for all patients.…”

Section: Discussionmentioning

confidence: 99%

Inconsistency in the Reporting of Adverse Events in Total Ankle Arthroplasty

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Inconsistency in the Reporting of Adverse Events in Total Ankle Arthroplasty

et al. 2015

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“… 8 The current series reflects a second peak of predominantly female patients. Bergkvist et al 1 recently suggested that elderly female patients may benefit more from surgical intervention. Cretnik et al’s 8 series of 14 ruptures in patients over 60 years of age had a mean AOFAS score of 93.1 points, whereas Maffulli et al’s 17 series suggested reduced functional outcome with an ATRS of 69.4 at a mean follow-up of 49 months.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Percutaneous Achilles Repair

Carmont

Silbernagel

Edge

et al. 2013

Orthopaedic Journal of Sports Medicine

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Background:Randomized studies have so far failed to show a difference in outcome between operative and nonoperative management of Achilles tendon rupture, provided that no rerupture occurs. Percutaneous Achilles repair has been suggested to result in superior patient satisfaction compared with open repair in patients with an acute Achilles tendon rupture, but there are no outcome data available with validated methods describing the progression of recovery during the first year.Purpose:To evaluate the outcome of patients with a ruptured Achilles tendon, managed by percutaneous repair, during the first year following repair with a valid, reliable, and responsive outcome measure. Furthermore, the effects of time between injury and surgery, age, and complications on outcome were also evaluated.Study design:Case series.Methods:A total of 73 patients (60 males and 13 females) with a mean age of 45.5 years were included. Patient age, length of time between injury and surgery, and complications were documented. Patients were evaluated using the Achilles tendon Total Rupture Score (ATRS) at 3, 6, 9, and 12 months following repair.Results:The median ATRS results at 3, 6, 9, and 12 months were 42.5, 73, 83, and 89, respectively. The number of patients who reported excellent or good scores (ATRS >84) at 3, 6, 9, and 12 months were 3%, 36%, 57%, and 69%, respectively. There were no significant differences in outcome at each time point for those patients undergoing early (≤48 hours) compared with late surgery or between those <65 and those >65 years of age. The complication rate was 13.5%. Patients who had a complication had a lower ATRS result at 3 months following surgery, but there were no differences after that time point.Conclusion:The patients in the present study reported marked improvement in function between 3 and 6 months following surgery, with continuing but less steep improvement up to 1 year following surgery. The presence of a complication other than rerupture did not affect the end-stage outcome but did affect that at 3 months following surgery.Clinical Relevance:This study demonstrates improving scores with time over the first year following surgery, against which other treatment methods can be compared.

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“…A rupture of the Achilles tendon predominantly occurs in middle-aged males during sports activity, [1][2][3][4][5][6][7][8] with increasing incidence rates of as much as 69 per 100 000. 1 9 The greatest increases in incidence occur in the 40-60 and over 60 age groups.…”

Section: Introductionmentioning

confidence: 99%

Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play

2016

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Aim This systematic review and meta-analysis sought to identify return to play (RTP) rates following Achilles tendon rupture and evaluate what measures are used to determine RTP. Design Systematic review and meta-analysis. Studies were assessed for risk of bias and grouped based on repeatability of their measure of RTP determination. Data Sources PubMed, CINAHL, Web of Science, and Scopus databases were searched to identify potentially relevant articles. Eligibility criteria for selecting studies Studies reporting return to play/sport/sport activity in acute, closed Achilles tendon rupture were included. Results A total of 108 studies encompassing 6,506 patients were included for review. Eighty-five studies included a measure for determining RTP. The rate of RTP in all studies was 80% (CI95%: 75 – 85%). Studies with measures describing determination of RTP reported lower rates than studies without metrics described, with rates being significantly different between groups (p < 0.001). Conclusions Eighty percent of patients returned to play following Achilles tendon rupture, however, the return to play rates are dependent on the quality of the method used to measure RTP. To further understand RTP after Achilles tendon rupture, a standardised, reliable, and valid method is required.

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Acute Achilles Tendon Rupture

Cited by 35 publications

References 8 publications

Inconsistency in the Reporting of Adverse Events in Total Ankle Arthroplasty

Inconsistency in the Reporting of Adverse Events in Total Ankle Arthroplasty

Functional Outcome of Percutaneous Achilles Repair

Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play

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