Rerupture and wound complications following Achilles tendon repair: A systematic review

Despite the relatively high frequency of Achilles ruptures, there is no general consensus on the optimal treatment method. A general trend toward more patients being treated nonoperatively has emerged recently with the advent of functional rehabilitation. However, much of the recent data on this sub...

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Bibliographic Details
Published in:Journal of orthopaedic research 2023-04, Vol.41 (4), p.845-851
Main Authors: Shoap, Seth, Backer, Henrik C., Freibott, Christina E., Ferrer, Xavier E., Polzer, Hans, Turner Vosseller, James
Format: Article
Language:English
Subjects:
Achilles Tendon - surgery
biomechanics
foot and ankle
Humans
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
repair
Rupture
surgical navigation outcomes
surgical repair
Tendon Injuries - therapy
Treatment Outcome
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Summary:Despite the relatively high frequency of Achilles ruptures, there is no general consensus on the optimal treatment method. A general trend toward more patients being treated nonoperatively has emerged recently with the advent of functional rehabilitation. However, much of the recent data on this subject has been highly variable. This systematic review focused on Achilles tendon rupture (ATR) treatment outcomes, with a focus on rerupture and complication rates. This systematic review specifically focused on articles regarding ATR treatment that also included rerupture and complication rates. Treatments were divided into three categories: open minimally invasive, open standard, and nonoperative. Bivariate analyses were performed to compare complication and rerupture rates among pairs of treatment options, as well as between early weight bearing versus immobilization. There was significantly higher complications for minimally invasive compared to nonoperative treatment (risk ratio [RR] = 4.4154; p 
ISSN:0736-0266
1554-527X
DOI:10.1002/jor.25419