There is no consensus regarding the optimal treatment of acute Achilles tendon ruptures. This review of the literature on the subject shows a significantly higher rate of reruptures (RR) in the conservatively treated group compared to the surgically treated group when the foot is immobilised in the aftertreatment. Recent studies that used early dynamic mobilisation in the conservatively treated group did not show this difference in the RR rate. The latest literature on the subject indicates that non-operative treatment, followed by dynamic aftertreatment, results in the lowest complication rate and a good functional outcome.
Ugeskrift for Laeger, 2011, Vol 173, Issue 44, p. 2778-84
Achilles Tendon; Acute Disease; Early Ambulation; Humans; Recovery of Function; Recurrence; Rupture; Treatment Outcome