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Review
. 2022 Sep 1;58(9):1195.
doi: 10.3390/medicina58091195.

The Acute Achilles Tendon Rupture: An Evidence-Based Approach from the Diagnosis to the Treatment

Francesco Amendola  1 , Léa Barbasse  2 , Riccardo Carbonaro  1 , Mario Alessandri-Bonetti  1 , Giuseppe Cottone  1 , Michele Riccio  3 , Francesco De Francesco  3 , Luca Vaienti  1 , Kevin Serror  2
Affiliations
Review

The Acute Achilles Tendon Rupture: An Evidence-Based Approach from the Diagnosis to the Treatment

Francesco Amendola et al. Medicina (Kaunas). .

Abstract

Background and Objective: Acute Achilles tendon rupture (AATR) is a common injury with a significant impact on daily living. Although various systematic reviews and meta-analyses have been written on the topic, no actual consensus exists on the best treatment. We aimed to collect the highest quality of evidence on the subject and to produce a document to which to refer, from the diagnosis to the final treatment. Material and Methods: Inclusion criteria were systematic reviews discussing Achilles tendon rupture, concerning either diagnostic criteria, classification, or treatment; English language; clearly stated inclusion and exclusion criteria for patients' selection. Results: Thirteen systematic reviews were included in the study. A strong consensus exists about the higher risk of re-rupture associated with non-operative treatment and a higher risk of complications associated with surgical repair. Conclusions: The combination of minimally invasive repair and accelerated functional rehabilitation seems to offer the best results in the treatment of Achilles tendon rupture.

Keywords: achilles tendon rupture; minimally invasive surgery; nonoperative treatment; open repair; operative treatment.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Figure1. Flowchart of the selection process.
Figure 2
Figure 2
Citations metrics for type of study. Graphic legend: RCT = randomized clinical trials; SR = systematic review; MA = metanalysis.
See this image and copyright information in PMC

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