Pregledni rad
https://doi.org/10.48188/hczz.3.2.7
Achilles tendon rupture and treatment – literature review
Luka Dagelić
; Hrvatski nogomenti klub Hajduk Split, Split, Hrvatska
Fabijan Čukelj
; Klinički Bolnički Centar Sestre milosrdnice, Zagreb, Hrvatska; Sveučilišni odjel zdravstvenih studija Sveučilišta u Splitu, Split, Hrvatska; Sveučilište u Splitu, Medicinski fakultet Split, Split, Hrvatska; Specijalna bolnica Sv.Katarina, Zagreb, Hrvatska
Lorena Đula
; Dom zdravlja Splitsko-dalmatinske županije, Split, Hrvatska
Fabijan Čukelj jr.
orcid.org/0009-0005-4044-3492
; Zavod za hitnu medicinu Splitsko-dalmatinske županije, Split, Hrvatska
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* Dopisni autor.
Sažetak
Objective: To determine the most optimal treatment model for Achilles tendon ruptures through a review of scientific literature in available databases.
Methods: The search was performed within three databases, including PubMed, Research Gate and Web of Science, and after eliminating articles according to preset criteria, five randomized studies were selected for further analysis.
Results: The studies included 484 patients with Achilles tendon rupture, of which 244 underwent surgical treatment, and the remaining 240 underwent non-operative treatment. The results of various tests showed that the surgical approach has a lower risk of re-rupture since it occurred in 3.27% of cases, as opposed to 9.58%. in the non-surgical group However, major complications were also recorded in the surgical group, most often related to infections and soft tissue condition. Regarding functional outcomes, most studies found no statistically significant differences between groups in terms of strength, range of motion, lower leg circumfe-rence, or Leppilahti score.
Conclusion: The surgical approach to the treatment of Achilles tendon ruptures proved to be a safe method with an excellent clinical and functional outcome that enables an earlier return to activities and a better quality of life compared to non-operative treatment.
Ključne riječi
Achilles tendon; rupture; operative treatment; non-operative treatment
Hrčak ID:
311649
URI
Datum izdavanja:
16.12.2023.
Posjeta: 917 *