|
The Journal of Bone and Joint Surgery, Vol 63, Issue 3 394-399, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc
Surgical and non-surgical treatment of Achilles Tendon rupture. A prospective randomized study
L Nistor
One hundred and five consecutive patients with a closed acute rupture of
the tendo achillis were assigned randomly for surgical or non-surgical
treatment. After treatment, the patients were evaluated clinically and with
static and dynamic measurements of plantar flexion strength. Only minor
differences were noted between the final results in the two groups.
Non-surgical treatment had the advantages of shorter morbidity and no
hospital stay. The frequency of major complications was about the same in
both groups of patients: two re-ruptures and two deep infections in
patients who had operations as compared with five re-ruptures in the
conservatively treated patients. I concluded that non-surgical treatment
offers advantages over surgical treatment.

CiteULike Connotea Del.icio.us Facebook Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
T. Yotsumoto, W. Miyamoto, and Y. Uchio
Novel Approach to Repair of Acute Achilles Tendon Rupture: Early Recovery Without Postoperative Fixation or Orthosis
Am. J. Sports Med.,
February 1, 2010;
38(2):
287 - 292.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Metz, G. J. M. G. van der Heijden, E.-J. M. M. Verleisdonk, R. Tamminga, and C. van der Werken
Recovery of Calf Muscle Strength Following Acute Achilles Tendon Rupture Treatment: A Comparison Between Minimally Invasive Surgery and Conservative Treatment
Foot & Ankle Specialist,
October 1, 2009;
2(5):
219 - 226.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
W. H. Wray III, C. Regan, S. Patel, R. May, and S. G. Parekh
Positional Effects of the Knee and Ankle on the Ends of Acute Achilles Tendon Ruptures
Foot & Ankle Specialist,
October 1, 2009;
2(5):
214 - 218.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. A. Suchak, G. P. Bostick, L. A. Beaupre, D. C. Durand, and N. M. Jomha
The Influence of Early Weight-Bearing Compared with Non-Weight-Bearing After Surgical Repair of the Achilles Tendon
J. Bone Joint Surg. Am.,
September 1, 2008;
90(9):
1876 - 1883.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Metz, E.-J. M. M. Verleisdonk, G. J.-M.-G. van der Heijden, G.-J. Clevers, E. R. Hammacher, M. H. J. Verhofstad, and C. van der Werken
Acute Achilles Tendon Rupture: Minimally Invasive Surgery Versus Nonoperative Treatment With Immediate Full Weightbearing--A Randomized Controlled Trial
Am. J. Sports Med.,
September 1, 2008;
36(9):
1688 - 1694.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. C. Twaddle and P. Poon
Early Motion for Achilles Tendon Ruptures: Is Surgery Important?: A Randomized, Prospective Study
Am. J. Sports Med.,
December 1, 2007;
35(12):
2033 - 2038.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Nilsson-Helander, R. Thomee, K. Gravare-Silbernagel, P. Thomee, E. Faxen, B. I. Eriksson, and J. Karlsson
The Achilles Tendon Total Rupture Score (ATRS): Development and Validation
Am. J. Sports Med.,
March 1, 2007;
35(3):
421 - 426.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Kotnis, S. David, R. Handley, K. Willett, and S. Ostlere
Dynamic Ultrasound as a Selection Tool for Reducing Achilles Tendon Reruptures
Am. J. Sports Med.,
September 1, 2006;
34(9):
1395 - 1400.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Majewski, M. Rohrbach, S. Czaja, and P. Ochsner
Avoiding Sural Nerve Injuries During Percutaneous Achilles Tendon Repair
Am. J. Sports Med.,
May 1, 2006;
34(5):
793 - 798.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. J.K. Khan, M. Parker, D. Fick, and A. Keogh
J. Bone Joint Surg. Am.,
May 1, 2006;
88(5):
1160 - 1160.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. J.K. Khan, D. Fick, A. Keogh, J. Crawford, T. Brammar, and M. Parker
Treatment of Acute Achilles Tendon Ruptures. A Meta-Analysis of Randomized, Controlled Trials
J. Bone Joint Surg. Am.,
October 1, 2005;
87(10):
2202 - 2210.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Cretnik, M. Kosanovic, and V. Smrkolj
Percutaneous Versus Open Repair of the Ruptured Achilles Tendon: A Comparative Study
Am. J. Sports Med.,
September 1, 2005;
33(9):
1369 - 1379.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. C. Rettig, F. J. Liotta, T. E. Klootwyk, D. A. Porter, and P. Mieling
Potential Risk of Rerupture in Primary Achilles Tendon Repair in Athletes Younger Than 30 Years of Age
Am. J. Sports Med.,
January 1, 2005;
33(1):
119 - 123.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. G.H. Wallace, I. E.R. Traynor, W. G. Kernohan, and M. H.A. Eames
Combined Conservative and Orthotic Management of Acute Ruptures of the Achilles Tendon
J. Bone Joint Surg. Am.,
June 1, 2004;
86(6):
1198 - 1202.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Weber, M. Niemann, R. Lanz, and T. Muller
Nonoperative Treatment of Acute Rupture of the Achilles Tendon: Results of a New Protocol and Comparison with Operative Treatment
Am. J. Sports Med.,
September 1, 2003;
31(5):
685 - 691.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Forslund and P. Aspenberg
Improved Healing of Transected Rabbit Achilles Tendon after a Single Injection of Cartilage-Derived Morphogenetic Protein-2
Am. J. Sports Med.,
July 1, 2003;
31(4):
555 - 559.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Pajala, J. Kangas, P. Ohtonen, and J. Leppilahti
Rerupture and Deep Infection Following Treatment of Total Achilles Tendon Rupture
J. Bone Joint Surg. Am.,
November 12, 2002;
84(11):
2016 - 2021.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. S. Kocher, J. Bishop, R. Marshall, K. K. Briggs, and R. J. Hawkins
Operative versus Nonoperative Management of Acute Achilles Tendon Rupture: Expected-Value Decision Analysis
Am. J. Sports Med.,
November 1, 2002;
30(6):
783 - 790.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. M. Lynch and N. Maffulli
Management of Achilles tendon ruptures.
Am. J. Sports Med.,
November 1, 2002;
30(6):
917 - 917.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Wong, V. Barrass, and N. Maffulli
Quantitative Review of Operative and Nonoperative Management of Achilles Tendon Ruptures
Am. J. Sports Med.,
July 1, 2002;
30(4):
565 - 575.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. A. Schepsis, H. Jones, and A. L. Haas
Achilles Tendon Disorders in Athletes
Am. J. Sports Med.,
March 1, 2002;
30(2):
287 - 305.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Assal, M. Jung, R. Stern, P. Rippstein, M. Delmi, and P. Hoffmeyer
Limited Open Repair of Achilles Tendon Ruptures : A Technique with a New Instrument and Findings of a Prospective Multicenter Study
J. Bone Joint Surg. Am.,
February 1, 2002;
84(2):
161 - 170.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K H Akizuki, E J Gartman, B Nisonson, S Ben-Avi, and M P McHugh
The relative stress on the Achilles tendon during ambulation in an ankle immobiliser: implications for rehabilitation after Achilles tendon repair
Br. J. Sports Med.,
October 1, 2001;
35(5):
329 - 333.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Hartgerink, D. P. Fessell, J. A. Jacobson, and M. T. van Holsbeeck
Full- versus Partial-Thickness Achilles Tendon Tears: Sonographic Accuracy and Characterization in 26 Cases with Surgical Correlation
Radiology,
August 1, 2001;
220(2):
406 - 412.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Bressel and P. J. McNair
Biomechanical Behavior of the Plantar Flexor Muscle-Tendon Unit after an Achilles Tendon Rupture
Am. J. Sports Med.,
May 1, 2001;
29(3):
321 - 326.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. K. Sekiya, K. E. Evensen, P. J. L. Jebson, and J. E. Kuhn
The Effect of Knee and Ankle Position on Displacement of Achilles Tendon Ruptures in a Cadaveric Model: Implications for Nonoperative Management
Am. J. Sports Med.,
September 1, 1999;
27(5):
632 - 635.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
N. MAFFULLI
Current Concepts Review - Rupture of the Achilles Tendon
J. Bone Joint Surg. Am.,
July 1, 1999;
81(7):
1019 - 36.
[Full Text]
|
 |
|

|
 |

|
 |
 
M. Speck and K. Klaue
Early Full Weightbearing and Functional Treatment After Surgical Repair of Acute Achilles Tendon Rupture
Am. J. Sports Med.,
November 1, 1998;
26(6):
789 - 793.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Aoki, N. Ogiwara, T. Ohta, and Y. Nabeta
Early Active Motion and Weightbearing After Cross-Stitch Achilles Tendon Repair
Am. J. Sports Med.,
November 1, 1998;
26(6):
794 - 800.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. P. MCCOMIS, D. A. NAWOCZENSKI, and K. E. DEHAVEN
Functional Bracing for Rupture of the Achilles Tendon. Clinical Results and Analysis of Ground-Reaction Forces and Temporal Data
J. Bone Joint Surg. Am.,
December 1, 1997;
79(12):
1799 - 1808.
[Abstract]
[Full Text]
|
 |
|

|
 |

|
 |
 
P. T. Karjalainen, H. J. Aronen, H. K. Pihlajamaki, K. Soila, T. Paavonen, and O. M. Bostman
Magnetic Resonance Imaging During Healing of Surgically Repaired Achilles Tendon Ruptures
Am. J. Sports Med.,
March 1, 1997;
25(2):
164 - 171.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Fernandez-Fairen and C. Gimeno
Augmented Repair of Achilles Tendon Ruptures
Am. J. Sports Med.,
March 1, 1997;
25(2):
177 - 181.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
B. R. Mandelbaum, M. S. Myerson, and R. Forster
Achilles Tendon Ruptures: A New Method of Repair, Early Range of Motion, and Functional Rehabilitation
Am. J. Sports Med.,
July 1, 1995;
23(4):
392 - 395.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Ryan
Dear Editor
Am. J. Sports Med.,
July 1, 1994;
22(4):
568 - 569.
[PDF]
|
 |
|

|
 |

|
 |
 
R. Cetti, S.-E. Christensen, R. Ejsted, N. M. Jensen, and U. Jorgensen
Operative versus nonoperative treatment of Achilles tendon rupture: A prospective randomized study and review of the literature
Am. J. Sports Med.,
December 1, 1993;
21(6):
791 - 799.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
R. E. Fitzgibbons, J. Hefferon, and J. Hill
Percutaneous Achilles tendon repair
Am. J. Sports Med.,
September 1, 1993;
21(5):
724 - 727.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
T. R. Carter, P. J. Fowler, and C. Blokker
Functional postoperative treatment of Achilles tendon repair
Am. J. Sports Med.,
July 1, 1992;
20(4):
459 - 462.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. P. Bradley and J. E. Tibone
Percutaneous and open surgical repairs of Achilles tendon ruptures: A comparative study
Am. J. Sports Med.,
March 1, 1990;
18(2):
188 - 195.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. S. Keene, E. G. Lash, D. R. Fisher, and A. A. De Smet
Magnetic resonance imaging of Achilles tendon ruptures
Am. J. Sports Med.,
June 1, 1989;
17(3):
333 - 337.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Jozsa, M. Kvist, B.J. Balint, A. Reffy, M. Jarvinen, M. Lehto, and M. Barzo
The role of recreational sport activity in Achilles tendon rupture: A clinical, pathoanatomical, and sociological study of 292 cases
Am. J. Sports Med.,
June 1, 1989;
17(3):
338 - 343.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. L. Beskin, R. A. Sanders, S. C. Hunter, and J. C. Hughston
Surgical repair of Achilles tendon ruptures
Am. J. Sports Med.,
January 1, 1987;
15(1):
1 - 8.
[Abstract]
[PDF]
|
 |
|
|