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Updated: Jun 9, 2026
03:50
A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Surgical interventions for treating acute Achilles tendon ruptures
Riaz Jk Khan1, Richard L Carey Smith
1Department of Surgery and Pathology, University of Western Australia, Gate 3 Verdun Street, Nedlands, Perth, Western Australia, Australia, 6009.
The Cochrane Database of Systematic Reviews
|September 9, 2010
Summary
Open surgical treatment for acute Achilles tendon ruptures reduces rerupture risk but increases complications like infection. Percutaneous surgery may lower infection rates. Optimal management remains debated.
Area of Science:
- Orthopedics
- Sports Medicine
- Traumatology
Background:
- Acute Achilles tendon ruptures lack a consensus-based optimal management strategy.
- Treatment options include surgical (open/percutaneous) and non-surgical (cast/bracing) interventions.
Purpose of the Study:
- To compare the effectiveness of surgical versus non-surgical treatments for acute Achilles tendon ruptures.
- To evaluate different surgical techniques for acute Achilles tendon ruptures.
Main Methods:
- Systematic review and meta-analysis of randomized and quasi-randomized controlled trials.
- Searched multiple databases including Cochrane, MEDLINE, EMBASE, and CINAHL up to July 2009.
- Assessed trial quality and pooled data where feasible.
Main Results:
- Open surgery reduced rerupture risk versus non-surgical treatment but increased infection and other complications.
- Percutaneous repair showed a higher infection risk compared to open surgery, though based on small numbers.
- Functional outcomes and sporting activity data were inconsistently reported, yielding inconclusive results.
Conclusions:
- Open surgical intervention for acute Achilles tendon ruptures lowers rerupture rates but elevates complication risks, notably infection.
- Percutaneous surgical techniques may mitigate wound infection risks.
- Further research with standardized outcome measures is needed for definitive conclusions on functional recovery.
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