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Achilles tendon repair
- Open operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared to non-operative treatment, but produces a higher risk of other complications
- Percutaneous or minimally invasive surgery may reduce the risk of wound infection
- Minimally invasive Achilles tendon repair in combination with a functional rehabilitation program is a safe and quick procedure with a low rate of rerupture and a high level of patient satisfaction
- Post-operative splintage in a functional brace appears to reduce hospital stay, time off work and sports, and may lower overall complication rate
Literature
1. Treatment of acute Achilles tendon ruptures. A meta-analysis of randomized controlled trials. Khan RJ et al. J Bone Joint Surg Am. 2005 oct; 87 (10):2202-10
2. Postoperative rehabilitaion protocols for Achilles tendon ruptures: a meta-analysis. Suchak AA et al. Clin Orthop Relat Res. 2006;445:216-21
3. The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment. Lansdaal JR et al.Injury. 2007 Jul;38(7):839-44. Epub 2007 Feb 20
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