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Surgical versus functional conservative treatment of acute Achilles tendon rupture

Author

Listed:
  • Cabrera, Leodanis Hernández
  • leodanishernandezcabrera1@gmail.com
  • Cano, Eirina Pernas
  • eirinapernas@gmail.com
  • Pernas, Gabriela González
  • gabriela20252002@outlook.es
  • González González, Mariam Alejandra
  • marian040206@gmail.com

Abstract

Introduction: Acute Achilles tendon rupture is a common injury whose incidence continues to rise, yet the choice between surgical repair and functional conservative treatment remains unresolved. Methods: Scopus, PubMed, OpenAlex and Crossref were searched for randomized and comparative studies published from 2018 to 2026 that compared surgical repair with conservative treatment of acute Achilles tendon rupture in adults. Results: A total of 973 records were identified and 572 were screened, leaving 12 studies (four randomized trials and eight comparative cohorts) with samples ranging from 18 to 17,996 participants. Re-rupture was consistently lower after surgery (0.6% to 3%) than after conservative treatment (up to 11% to 13%) in most studies, whereas functional scores (ATRS and PROMIS) were comparable between strategies. Surgical treatment carried more wound and sural nerve complications. Conclusions: Surgical repair reduces the risk of re-rupture but does not improve functional recovery and adds surgical complications, so functional conservative treatment is a valid alternative and the choice should be individualized.

Suggested Citation

  • Cabrera, Leodanis Hernández & leodanishernandezcabrera1@gmail.com & Cano, Eirina Pernas & eirinapernas@gmail.com & Pernas, Gabriela González & gabriela20252002@outlook.es & González González, Mariam A, 2026. "Surgical versus functional conservative treatment of acute Achilles tendon rupture," SAP Podiatry, South American Publishing.
    • Handle: RePEc:cwf:podart:pod2026271
    DOI: 10.62486/pod2026271
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