Treatment of Acute Achilles Tendon Ruptures A Systematic Overview and Metaanalysis

Surgical Versus Nonsurgical Treatment of Acute Achilles Tendon Rupture

“…This is thought to stimulate tendon-healing, and it may lower the rerupture rate that is typically associated with nonsurgical treatment 8 . Two previous meta-analyses of randomized and pseudorandomized trials comparing surgical with nonsurgical treatment have already been published, with the latest one including studies up to 2004 9,10 . The authors concluded that although surgical treatment significantly reduced the risk of rerupture of the tendon, it also led to a higher rate of other complications.…”

Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture—A biomechanical evaluation

“…Willits et al did not see any clinically International Orthopaedics (SICOT) (2012) 36:627-632significant differences in outcome measures and Keating et al were unable to show convincing functional benefits from surgery for patients with acute Achilles tendon tears after a one-year follow-up [9,11]. Open Achilles tendon repair by gluing reveals comparable re-rupture rates to suture repair; whereas pooled rerupture rates after operatively treated acute Achilles tendon tears are reported to be 3.1-3.5% [7,22], studies investigating Achilles tendon repair by gluing present re-rupture rates of 1.9-6.5% [6,[14][15][16].…”

“…This technique offers high stability by providing a large contact area between the tendon and suture material and is considered a standard technique for open Achilles tendon repair [19][20][21][22][23].…”

Achilles tendon ruptures

“…In 2002, Bhandari et al [56] pooled the results of 448 patients and reported a relative risk of re-rupture of 0.32 in favor of surgical repair. In 2005 Khan et al [41] published the results of their meta-analysis and found that surgical repair also had a lower rate of re-rupture but that it came at a cost of higher rate of other complications, such as infections, adhesion, wound problems, and disturbed skin sensibility.…”