Abstract
Achilles Tendon Rupture: Advances in Functional Rehabilitation and the Role of Non-operative Management
Highlights
Achilles tendon rupture is a potentially devastating event for a patient, especially a young, active one
In order to review differences between treatment options, an online literature review was conducted for the search terms “Achilles tendon rupture functional rehabilitation” “acute Achilles tendon rupture” by two authors independently
Randomized controlled trials, Cochrane reviews, and systematic reviews/meta-analyses published in the last twenty-five years were included
Summary
Achilles tendon rupture is a potentially devastating event for a patient, especially a young, active one. With more recent publications including quality levels of evidence, it is the authors’ pursuit to investigate the recent successes of non-operative management of this injury especially in terms of allowing weight bearing and range of motion, and whether recent advances can serve to rehabilitate patients towards more successful outcomes (Figure 1). When deciding on an operative treatment plan, discussion of risks and benefits of surgery are often based on literature published supporting a lower re-rupture rate in surgical cohorts as compared to non-operatively treated patients [9]. Newer literature that combines early mobilization with either surgical or nonsurgical treatment does not distinguish clinically significant rerupture rates [10,11,12] Functional outcomes, such as earlier return to work, must be balanced with the risk of complications after surgery including sural nerve injury or local infection [13,14]. Their conclusions echoed the 2002 study regarding re-rupture: it is much less likely in patients treated surgically, but produces significantly higher risk of complications such as wound infection
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