Review article
https://doi.org/10.48188/hczz.3.2.7
Achilles tendon rupture and treatment – literature review
Luka Dagelić
; Croatian Football Club Hajduk, Split, Croatia
Fabijan Čukelj
; Clinical Hospital Center of Sisters of Mercy, Zagreb, Croatia; University Department of Health Studies, University of Split, Split, Croatia; University of Split School of Medicine Split, Split, Croatia; St. Catherine's Special Hospital, Zagreb, Croatia
Lorena Đula
; Split-Dalmatia County Health Center, Split, Croatia
Fabijan Čukelj jr.
orcid.org/0009-0005-4044-3492
; Department of Emergency Medicine of the Split-Dalmatia County, Split, Croatia
Abstract
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.
Keywords
Achilles tendon; rupture; operative treatment; non-operative treatment
Hrčak ID:
311649
URI
Publication date:
16.12.2023.
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