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Acute rupture of tendo Achillis: A PROSPECTIVE, RANDOMISED STUDY OF COMPARISON BETWEEN SURGICAL AND NON-SURGICAL TREATMENT
Abstract
In a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between 21 and 63 years) with acute, complete rupture of tendo Achillis were allocated either to surgical treatment followed by early functional rehabilitation, using a brace, or to non-surgical treatment, with plaster splintage for eight weeks. The period of follow-up was for two years. Evaluation was undertaken by independent observers and comprised interviews, clinical measurements, isokinetic muscle performance tests, heel-raise tests and an overall outcome score. The rate of rerupture was 20.8% after non-surgical and 1.7% after surgical treatment (p < 0.001). Surgical and non-surgical treatment produced equally good functional results if complications were avoided. However, the rate of rerupture after non-surgical treatment was unacceptably high.
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Cited by
Ardern, C. L., Glasgow, P., Schneiders, A., Witvrouw, E., Clarsen, B., Cools, A., Gojanovic, B., Griffin, S., Khan, K. M., Moksnes, H., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096278 · Cited by 985
Khan, R. J. K. (2005) · The Journal of Bone and Joint Surgery (American) · doi:10.2106/jbjs.d.03049 · Cited by 451
Nilsson-Helander, K., Grävare Silbernagel, K., Thomeé, R., Faxén, E., Olsson, N., Eriksson, B. I., & Karlsson, J. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510376052 · Cited by 420
Self-citationTreatment of Acute Achilles Tendon Ruptures A Systematic Overview and Metaanalysis
Bhandari, M., Guyatt, G. H., Siddiqui, F., Morrow, F., Busse, J., Leighton, R. K., Sprague, S., & Schemitsch, E. H. (2002) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-200207000-00024 · Cited by 306
Schepull, T., Kvist, J., Norrman, H., Trinks, M., Berlin, G., & Aspenberg, P. (2011) · The American Journal of Sports Medicine · doi:10.1177/0363546510383515 · Cited by 264
Metadata
- Authors
- Möller, M., Movin, T., Granhed, H., Lind, K., Faxén, E., & Karlsson, J.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 2001-08
- Volume
- 83-B
- Issue
- 6
- Pages
- 843-848
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2789976996
- Cited by
- 387
- References
- 0
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Möller, M., Movin, T., Granhed, H., Lind, K., Faxén, E., & Karlsson, J. (2001). Acute rupture of tendo Achillis: A PROSPECTIVE, RANDOMISED STUDY OF COMPARISON BETWEEN SURGICAL AND NON-SURGICAL TREATMENT. The Journal of Bone and Joint Surgery. British volume. https://doi.org/10.1302/0301-620x.83b6.0830843
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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