Nonsurgical repair of achilles tendon may be preferable

Nonsurgical repair of achilles tendon may be preferable
Although surgical repair of a ruptured Achilles tendon is thought to reduce the risk of rerupture, nonsurgical management shows similar rerupture rates when functional rehabilitation with early range of motion is used, according to research published in the Dec. 5 issue of The Journal of Bone & Joint Surgery.

(HealthDay)—Although surgical repair of a ruptured Achilles tendon is thought to reduce the risk of rerupture, nonsurgical management shows similar rerupture rates when functional rehabilitation with early range of motion is used, according to research published in the Dec. 5 issue of The Journal of Bone & Joint Surgery.

Alexandra Soroceanu, M.D., M.P.H., from Dalhousie University in Halifax, Canada, and colleagues conducted a literature review and performed a meta-analysis of 10 randomized trials comparing surgical treatment and conservative treatment of acute rupture.

The researchers found that the rerupture rate was similar (risk difference, 1.7 percent; P = 0.45) based on functional rehabilitation with early range of motion. Surgery was associated with the following: a significantly lower rerupture rate if early range of motion was not used (absolute risk reduction achieved by surgery, 8.8 percent); a significantly higher rate of complications other than rerupture (absolute risk increase, 15.8 percent); and the ability to return to work significantly sooner (by 19.16 days). The two treatments were found to be similar in terms of calf circumference, strength, and functional outcomes.

"The results of the meta-analysis demonstrate that conservative treatment should be considered at centers using functional rehabilitation," Soroceanu and colleagues conclude. "Surgical repair should be preferred at centers that do not employ early-range-of-motion protocols as it decreased the rerupture risk in such patients."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Surgery may not be necessary for Achilles tendon rupture

May 14, 2009

The two ends of a ruptured Achilles tendon are often stitched together before the leg is put in plaster, in order to reduce the risk of the tendon rupturing again. However, Katarina Nilsson Helander, MD, PhD at the Sahlgrenska ...

Recommended for you

Dubai cuts profile as Mideast plastic surgery hub

1 hour ago

Dubai, the emirate known for its celebration of over-the-top glamour and luxury, is racing ahead to dominate the Middle East's plastic surgery market with plans to attract half a million medical tourists ...

Factors ID'd that influence lack of orthopedic follow-up

Oct 18, 2014

(HealthDay)—For patients treated in the emergency department, orthopedic-related and demographic variables influence failure to return for outpatient management ("no-show"), according to a study published ...

Surgery may not fix long-term palsy of spine disease

Oct 17, 2014

(HealthDay)—Duration of palsy should be considered when selecting candidates for surgical management of painless foot drop in patients with degenerative lumbar disorders, according to research published ...

User comments