• Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi · May 2013

    Review

    [Progress in treatment of acute achilles tendon rupture].

    • Jiang Nan, Dayong Xiang, and Bin Yu.
    • Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou Guangdong, 510515, PR China.
    • Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 May 1; 27 (5): 628-32.

    ObjectiveTo review the progress in the treatment of acute Achilles tendon rupture.MethodsRecent literature about the treatment of acute Achilles tendon rupture was reviewed and analyzed.ResultsTreatments of acute Achilles tendon rupture include operative and non-operative treatments. Operative treatments include open surgery and percutaneous minimally invasive surgery. Compared with non-operative treatment, operative treatment can effectively reduce the re-rupture incidence, but it had higher complication incidences of wound infection and nerve injury. Although early functional rehabilitation during non-operative treatment could reduce the re-rutpture incidence, there is no consistent orthopaedic device and guideline for functional rehabilitation.ConclusionBoth operative and non-operative treatments have advantages and disadvantages for the treatment of acute Achilles tendon rupture. No consistent conclusion is arrived regarding functional recovery. Future studies should explore the strategy of early functional rehabilitation during non-operative treatment and its mechanism of promoting tendon healing.

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