[Promising conservative treatment using dynamic mobilisation after Achilles tendon rupture].

Area of Science:

• Orthopedics
• Sports Medicine
• Regenerative Medicine

Background:

• Acute Achilles tendon ruptures lack a consensus on optimal treatment.
• Traditional approaches involve surgery or conservative management with immobilization.
• Immobilization in conservative treatment has been linked to higher rerupture rates.

Purpose of the Study:

• To review the current literature on acute Achilles tendon rupture treatments.
• To compare rerupture rates and complication profiles of different treatment modalities.
• To identify the most effective treatment strategy for optimal patient outcomes.

Main Methods:

• Systematic literature review of studies on acute Achilles tendon ruptures.
• Analysis of rerupture rates in surgically versus conservatively treated groups.
• Evaluation of outcomes associated with different rehabilitation protocols, including early dynamic mobilization.

Main Results:

• Conservative treatment with immobilization shows a significantly higher rerupture rate compared to surgical treatment.
• Recent studies utilizing early dynamic mobilization in conservative treatment eliminate this difference in rerupture rates.
• Non-operative treatment combined with dynamic aftertreatment demonstrates the lowest complication rates.

Conclusions:

• Early dynamic mobilization is crucial for conservative Achilles tendon rupture management.
• Non-operative treatment followed by dynamic aftertreatment offers a favorable risk-benefit profile.
• This approach leads to good functional outcomes and minimizes complications for Achilles tendon injuries.