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Outcomes of Non-operatively Managed Achilles Tendon Rupture: A Retrospective, Single-Centre Study.

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Cureus
|January 29, 2026
PubMed
Summary

The Leicester Achilles Management Protocol (LAMP) offers satisfactory recovery for Achilles tendon ruptures, avoiding surgical complications. This non-operative approach shows promising functional outcomes for patients.

Keywords:
achilles ruptureachilles tendonachilles tendon (at)achilles tendon injuryachilles tendon rehabilitationconservative management of achilles tendon

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Achilles tendon ruptures are common injuries managed surgically or conservatively.
  • Non-surgical management is often preferred due to reduced risks of operative complications.
  • The Leicester Achilles Management Protocol (LAMP) is a non-operative approach using a VACOped boot for eight weeks.

Purpose of the Study:

  • To evaluate patient outcomes following the Leicester Achilles Management Protocol (LAMP) for Achilles tendon ruptures.
  • To hypothesise that LAMP management leads to favourable outcomes as measured by the Achilles Tendon Total Rupture Score (ATRS).

Main Methods:

  • Retrospective cohort study of 28 patients with Achilles tendon ruptures managed with LAMP.
  • Data collected from electronic health records and telephone interviews using the ATRS.
  • Descriptive statistical analysis of demographics, comorbidities, and patient-reported outcomes.

Main Results:

  • The study cohort comprised 28 patients, predominantly male, with an average age of 52.1 years.
  • The mean Achilles Tendon Total Rupture Score (ATRS) was 67.1, indicating a wide variation in recovery.
  • Despite a lower ATRS than some previous studies, functional recovery was deemed satisfactory.

Conclusions:

  • The Leicester Achilles Management Protocol (LAMP) provides satisfactory functional recovery for Achilles tendon ruptures.
  • This non-operative management strategy effectively avoids operative and post-operative complications.
  • LAMP demonstrates a viable conservative treatment option for Achilles tendon injuries.