Surgical Interventions for Treating Acute Achilles Tendon Rupture: Key Findings from a Recent Cochrane Review

Nonoperative Dynamic Treatment of Acute Achilles Tendon Rupture: The Influence of Early Weight-Bearing on Clinical Outcome

“…A number of meta-analyses comparing operative and nonoperative treatment have shown a significantly lower rate of rerupture and a significantly higher rate of other complications among operatively treated patients [6][7][8]23 . An examination by Soroceanu et al involving only studies using dynamic rehabilitation revealed no significant difference in the rate of rerupture between operatively and nonoperatively treated patients; the increased risk of other complications in the operative group was the only significant difference 6 .…”

“…The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article. rerupture rates comparable with those of surgical treatment [2][3][4][5][6][7][8] . However, the optimal nonoperative treatment protocol, particularly the role of weight-bearing during early rehabilitation, remains to be clarified.…”

Outcomes of acute Achilles tendon rupture repair with bone marrow aspirate concentrate augmentation

“…Achilles tendon rupture (ATR) is a common injury [1][2][3], and the ideal treatment remains controversial [4][5][6][7][8][9][10][11]. Biologic augmentation is being used increasingly in the treatment of musculoskeletal soft-tissue injuries, such as chronic tendinopathies or acute ligament, muscle and tendon tears [12][13][14][15][16].…”

Biomechanical Evaluation of Varying the Number of Loops in a Repair of a Physiological Model of Achilles Tendon Rupture

“…24 Recent meta-analyses from the Cochrane Collaboration and others have demonstrated significantly lower rerupture rates in operatively treated patients (OR: 0.41, 95% CI: 0.24-0.72), although this different was not observed when compared with patients receiving early range-of-motion exercises (OR: 0.62, 95% CI: 0.29-1.32). 10,26 Several studies have evaluated the biomechanical zerotime strength of several types of suturing methods in cadaveric or bovine tendon models. 4,7,9,14,17,21,28 However, all of these studies utilized a model where the Achilles tendon was cleanly transected perpendicular to the longitudinal axis of the tendon, which does not accurately model the frayed tendon observed intraoperatively.…”