Treatment of Acute Achilles Tendon Rupture

Overview

Journal Clin Orthop Surg

Specialty Orthopedics

Date 2020 Mar 3

PMID 32117532

Citations 49

Authors

Seung-Hwan Park

Ho Seong Lee

Ki Won Young

Sang Gyo Seo

Affiliations

Soon will be listed here.

Abstract

There is no clear consensus on the optimal treatment of acute Achilles tendon rupture. Recently, studies have demonstrated the critical role of functional rehabilitation in the treatment of ruptured Achilles tendons. Hence, conservative treatment is preferred by a growing number of surgeons seeking to treat the condition without the risk of complications from surgery. However, operative treatment is still considered as a more reliable treatment option for acute Achilles tendon rupture. In this review article, we provide an overview of recent treatment strategies for acute rupture of the Achilles tendon.

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References

Gwynne-Jones D, Sims M, Handcock D . Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol. Foot Ankle Int. 2011; 32(4):337-43. DOI: 10.3113/FAI.2011.0337. View

van Sterkenburg M, Kerkhoffs G, van Dijk C . Good outcome after stripping the plantaris tendon in patients with chronic mid-portion Achilles tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2011; 19(8):1362-6. DOI: 10.1007/s00167-011-1514-0. View

Elias I, Besser M, Nazarian L, Raikin S . Reconstruction for missed or neglected Achilles tendon rupture with V-Y lengthening and flexor hallucis longus tendon transfer through one incision. Foot Ankle Int. 2008; 28(12):1238-48. DOI: 10.3113/FAI.2007.1238. View

Raikin S, Garras D, Krapchev P . Achilles tendon injuries in a United States population. Foot Ankle Int. 2013; 34(4):475-80. DOI: 10.1177/1071100713477621. View

Chiodo C, Glazebrook M, Bluman E, Cohen B, Femino J, Giza E . Diagnosis and treatment of acute Achilles tendon rupture. J Am Acad Orthop Surg. 2010; 18(8):503-10. DOI: 10.5435/00124635-201008000-00007. View

Bae S, Lee H, Seo S, Kim S, Gwak H, Bae S . Debridement and Functional Rehabilitation for Achilles Tendon Infection Following Tendon Repair. J Bone Joint Surg Am. 2016; 98(14):1161-7. DOI: 10.2106/JBJS.15.01117. View

Barfod K, Bencke J, Lauridsen H, Ban I, Ebskov L, Troelsen A . Nonoperative dynamic treatment of acute achilles tendon rupture: the influence of early weight-bearing on clinical outcome: a blinded, randomized controlled trial. J Bone Joint Surg Am. 2014; 96(18):1497-503. DOI: 10.2106/JBJS.M.01273. View

Lantto I, Heikkinen J, Flinkkila T, Ohtonen P, Kangas J, Siira P . Early functional treatment versus cast immobilization in tension after achilles rupture repair: results of a prospective randomized trial with 10 or more years of follow-up. Am J Sports Med. 2015; 43(9):2302-9. DOI: 10.1177/0363546515591267. View

Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M . Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone Joint Surg Am. 2012; 94(23):2136-43. PMC: 3509775. DOI: 10.2106/JBJS.K.00917. View

10.

OBrien M . The anatomy of the Achilles tendon. Foot Ankle Clin. 2005; 10(2):225-38. DOI: 10.1016/j.fcl.2005.01.011. View

11.

Maffulli N, Dymond N, Regine R . Surgical repair of ruptured Achilles tendon in sportsmen and sedentary patients: a longitudinal ultrasound assessment. Int J Sports Med. 1990; 11(1):78-84. DOI: 10.1055/s-2007-1024767. View

12.

Jarvinen T, Kannus P, Maffulli N, Khan K . Achilles tendon disorders: etiology and epidemiology. Foot Ankle Clin. 2005; 10(2):255-66. DOI: 10.1016/j.fcl.2005.01.013. View

13.

Keating J, Will E . Operative versus non-operative treatment of acute rupture of tendo Achillis: a prospective randomised evaluation of functional outcome. J Bone Joint Surg Br. 2011; 93(8):1071-8. DOI: 10.1302/0301-620X.93B8.25998. View

14.

Rufai A, Ralphs J, Benjamin M . Structure and histopathology of the insertional region of the human Achilles tendon. J Orthop Res. 1995; 13(4):585-93. DOI: 10.1002/jor.1100130414. View

15.

Huang J, Wang C, Ma X, Wang X, Zhang C, Chen L . Rehabilitation regimen after surgical treatment of acute Achilles tendon ruptures: a systematic review with meta-analysis. Am J Sports Med. 2014; 43(4):1008-16. DOI: 10.1177/0363546514531014. View

16.

Lantto I, Heikkinen J, Flinkkila T, Ohtonen P, Leppilahti J . Epidemiology of Achilles tendon ruptures: increasing incidence over a 33-year period. Scand J Med Sci Sports. 2014; 25(1):e133-8. DOI: 10.1111/sms.12253. View

17.

Levi N . The incidence of Achilles tendon rupture in Copenhagen. Injury. 1997; 28(4):311-3. DOI: 10.1016/s0020-1383(96)00200-8. View

18.

Hsu A, Jones C, Cohen B, Davis W, Ellington J, Anderson R . Clinical Outcomes and Complications of Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon Ruptures. Foot Ankle Int. 2015; 36(11):1279-86. DOI: 10.1177/1071100715589632. View

19.

Ryu C, Lee H, Seo S, Kim H . Results of tenorrhaphy with early rehabilitation for acute tear of Achilles tendon. J Orthop Surg (Hong Kong). 2018; 26(3):2309499018802483. DOI: 10.1177/2309499018802483. View

20.

Nillius S, NILSSON B, Westlin N . The incidence of Achilles tendon rupture. Acta Orthop Scand. 1976; 47(1):118-21. DOI: 10.3109/17453677608998983. View