Acute Achilles Tendon Ruptures: Does Surgery Offer Superior Results (and Other Confusing Issues)?

Management of acute Achilles tendon rupture is controversial. Although in the past open surgery was considered the gold standard, recent studies have shown improved outcomes with nonoperative management, leading to an increase in popularity of this treatment option. Percutaneous techniques have gained attention and seem to offer excellent results. In addition, as with many other orthopedic conditions, significant concerns and questions exist as to whether or not chemoprophylaxis is indicated in these patients.