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Burn Injuries01:22

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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Characterization of Orthopaedic Surgeon Expert Witnesses in Pediatric Orthopaedic Malpractice Litigation: A Multi-Decade Analysis.

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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions

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Retrospective Analysis of Malpractice Claims Following Achilles Tendon Rupture.

Haad A Arif1,2, Devan Devkumar1, Abbad Sultan3

  • 1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Foot & Ankle Orthopaedics
|December 19, 2025
PubMed
Summary

Achilles tendon rupture (ATR) litigation is infrequent but costly. Most malpractice claims stem from diagnostic errors or poor communication, highlighting the need for clear patient counseling and shared decision-making to mitigate risks.

Keywords:
Achillesfootlitigationmalpracticetendon

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Area of Science:

  • Orthopaedic Surgery
  • Medical Malpractice Law
  • Patient Safety

Background:

  • Achilles tendon rupture (ATR) is a common foot and ankle injury with increasing incidence.
  • Investigating the medicolegal aspects of ATR is crucial for understanding litigation trends.

Purpose of the Study:

  • To analyze the medicolegal characteristics of Achilles tendon rupture claims.
  • To identify common bases for litigation and associated outcomes in ATR cases.

Main Methods:

  • A retrospective database review of jury verdicts and settlements related to ATR malpractice claims from 1980-2024.
  • Analysis of 50 claims from Westlaw Precision, extracting data on demographics, litigation basis, and outcomes.

Main Results:

  • Most claims (82%) resulted in a defendant verdict, with an average payment of $431,405.
  • Diagnostic delays (24%) and insufficient informed consent (18%) were primary litigation bases.
  • Subsequent surgery (18%) and patient death (14%) were significant complications.

Conclusions:

  • Achilles tendon rupture (ATR) represents an infrequent but significant medicolegal burden in foot and ankle care.
  • Diagnostic delays, inadequate informed consent, and treatment disagreements are key drivers of litigation.
  • Strategies to reduce litigation include early diagnosis, comprehensive patient counseling, and shared decision-making.