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Journal of Bone and Joint Surgery - British Volume, Vol 83-B, Issue 6, 843-848.
doi: 10.1302/0301-620X.83B6.11676  
Copyright © 2001 by British Editorial Society of Bone and Joint Surgery
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Acute rupture of tendo Achillis

A PROSPECTIVE, RANDOMISED STUDY OF COMPARISON BETWEEN SURGICAL AND NON-SURGICAL TREATMENT

M. Möller, MD1; T. Movin, MD, PhD2; H. Granhed, MD, PhD1; K. Lind, RPT1; E. Faxén, RPT1; and J. Karlsson, MD, PhD1

1 Department of Orthopaedics, Sahlgrenska University Hospital Östra and Sahlgrenska, SE-416 85 Göteborg, Sweden.
2 Department of Orthopaedics, Huddinge University Hospital, SE-141 86 Stockholm, Sweden.

Correspondence should be sent to Dr M. Möller.

In a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between 21 and 63 years) with acute, complete rupture of tendo Achillis were allocated either to surgical treatment followed by early functional rehabilitation, using a brace, or to non-surgical treatment, with plaster splintage for eight weeks. The period of follow-up was for two years. Evaluation was undertaken by independent observers and comprised interviews, clinical measurements, isokinetic muscle performance tests, heel-raise tests and an overall outcome score.

The rate of rerupture was 20.8% after non-surgical and 1.7% after surgical treatment (p < 0.001). Surgical and non-surgical treatment produced equally good functional results if complications were avoided. However, the rate of rerupture after non-surgical treatment was unacceptably high.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General