SUMMARY
Purpose. To determine whether surgical management is more effective than conservative management in reducing the incidence of re rupture in adult patients with Achilles’ tendon rupture.
Materials and methods. A systematic review and meta-analysis was conducted, including ten clinical trials that compared surgical management versus conservative management.
Data were extracted and analyzed to compare the efficacy of both approaches in the incidence of re-rupture of the Achilles tendon and secondary outcomes: short- and long-term functional outcome, presence of chronic pain, and adverse effects (deep vein thrombosis and pulmonary embolism).
Results. The incidence of re rupture in the surgical management group was 65% lower than in the conservative management group (RR 0.35; 95%CI 0.20-0.62). As
for short-term functional outcome, there were no statistically significant results (MD 1.22; 95%CI -1.62 to 4.05). The mean long-term functional outcome in the surgical management group was 0.72 standard deviations higher (MD 0.72; 95%CI 0.37-1.08).
The probability of developing chronic pain in the surgical management group is 68% higher than in the conservative management group (RR 1.68; 95%CI 1.09-2.59). The probability of developing pulmonary embolism and developing deep vein thrombosis did not have statistically significant results (RR 2.75; 95%CI 0.31-24.75) (RR 0.71; 95%CI 0.23-2.23).
Conclusions. Surgical management is more effective in reducing the incidence of Achilles tendon re-rupture, presents a lower long-term functional result. However, increase the probability of presenting chronic pain compared with conservative management.
Efficacy of Surgical Management versus Conservative Management to Decrease the Incidence of Re-Rupture in Adult Patients with Achilles Tendon Rupture: A Systematic Review and Meta-Analysis
Fátima María Guevara-Chávez, José Caballero-Alvarado, Carlos Zavaleta-Corvera
Review, 54-66
Keywords: Achilles tendon re-rupture, Achilles tendon rupture, adults, conservative management, surgical management,
Table of Content: Vol. 14 (No.1) 2024 January/March
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Leading by Example: A Call to Action for the New Committee “I.S.Mu.L.T. Sport and Disability” to Promote the Benefits of Sports for Individuals with Severe Disabilities
Augusto Fusco, Alessio Giai Via, Bernardo InnocentiEditorial, 2-4 -
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Peripubertal Exposure to Glyphosate-Based Herbicides Promotes Histopathological Impairment in the Structure of the Diaphragm Muscle of C57BL/6 Mice
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Injuries Associated to Subtalar Dislocation: A Systematic Review
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Therapeutic Exercise in Plantar Fasciitis: A Systematic Review with Meta-Analysis
Renata Anddresa Stachelski, Beatriz Torrilhas, Franciele Foschiera Camboin, Dartel Ferrari de Lima, Cristiane Buzanello Donin, Gladson Ricardo Flor Bertolini, Márcia Rosângela BuzanelloReview, 29-45 -
Biomechanics of Meniscal Allograft Transplantation: A Meta-Analysis
Shayne Kelly, Kunal Panwar, Brenden Cutter, Nathan Reyes, Eric G. Huish JrReview, 46-53 -
Efficacy of Surgical Management versus Conservative Management to Decrease the Incidence of Re-Rupture in Adult Patients with Achilles Tendon Rupture: A Systematic Review and Meta-Analysis
Fátima María Guevara-Chávez, José Caballero-Alvarado, Carlos Zavaleta-CorveraReview, 54-66 -
Postural Control Pre- and Post-Group Supervised Clinic Based Exercise or Home Based Exercise in Patients with Knee Osteoarthritis: A Randomized Clinical Trial
Évelin Santos Vaz, Juliana Corrêa Soares, Carlos Bolli Mota, Michele Forgiarini SaccolOriginal Article, 67-74 -
Effects of Manual and Instrumental Therapy on the Treatment of Myofascial Pain Syndrome in Descending Trapezius of Women: A Blind Randomized Clinical Study
Vivian Carla Florianovicz, Bruna Scheffer Bueno, Ameg Dalpiaz, Heloyse Uliam Kuriki, Alexandre Márcio Marcolino, Fernando Diefenthaeler, Elaine Caldeira de Oliveira Guirro, Rafael Inácio BarbosaOriginal Article, 75-86 -
Effects of Ischemic Pre and Postconditioning on Indirect Markers of muscle damage: A Systematic Review and Meta-Analysis
Ingrid Martins de França, Mikhail Santos Cerqueira, Yves Matheus Barros de Sousa Oliveira, Stephen D. Patterson, Wouber Hérickson de Brito VieiraReview, 87-101 -
Lower Extremity Tendinopathies are Associated with Metabolic and Chronic Diseases: A Systematic Review
Iris F. Lagas, Branco K.J.F. Nijst, Fred Hartgens, Rob A. de Bie, Marijn Vis, Jan A.N. Verhaar, Robert-Jan de VosReview, 102-130 -
Bibliometric and Altimetric Analysis of Research Relating to Percutaneous Electrolysis
Bülent Alyanak, Mustafa Turgut Yıldızgören, Fatih BağcıerOriginal Article, 131-144 -
Effects of Subscapularis Muscle Dry Needling on clinical symptom improvement in People with Frozen Shoulder: A Randomized Controlled Trial Protocol
Amin Momenzadeh, Hakimeh Adigozali, Jalal Ahadi, Ali E. OskoueiOriginal Article, 145-155 -
Ultrasonography and Electromyography Activity of Abdominal Muscles in Different Abdominal Exercises: A Systematic Review
Helia Parvizi, Minoo Khalkhali Zavieh, Aliyeh Daryabor, Nahid TahanReview, 156-167 -
Peculiarities of Adolescent, Qualified Female Volleyball Players’ Shoulder Girdle
Krista Elīza Sakne, Agris Liepa, Inese PontagaOriginal Article, 168-179 -
Dual Task Reduces Balance Score but not Joint Repositioning Error in Female Athletes with Dynamic Knee Valgus
Fahime Naderi, Rahman Sheikhhoseini, Hashem Piri, Hamidreza ZanguieOriginal Article, 180-187 -
Neuromuscular Control Training is Effective to Prevent Ankle Sprains in Athletes
Homa Naderifar, Shima Babakhanian, Roya Najafi-Vosough, Mohammad Karimizadeh ArdakaniOriginal Article, 188-196 -
Reliability and Sensitivity of Smartphone Accelerometer to Assess Postural Balance in Healthy Individuals
José Carlos dos Santos Albarello, Conrado Torres Laett, Sidnei Cavalcante da Silva, Thiago LemosOriginal Article, 197-202 -
Combination of Training to Failure and Non-Failure: An Unexplored Approach of Number of Repetitions, Rate of Perceived Exertion, Time Under Tension, Volume-Load, and Muscle Swelling in Trained Individuals
Gustavo F. Pedrosa, Arthur B.G. Bischoff, Antony K. Luchese, Maria E. C. Rigo, Douglas G.D. Silva, Leonardo R. Marques, Tiago D. L. Nunes, Lorenzo I. Laporta, Fábio J. LanferdiniOriginal Article, 203-218 -
Flexor Tendon Repair with Fast-Absorbable Sutures: A Rupture Incidence-Focused Analysis of a Case Series and a Review
Valdas MacionisReview, 219-227 -
Multilevel Multiplane Two-Strand Technique for Flexor Tendon Repair: A Theoretical Proposal and Physical Considerations
Valdas MacionisOriginal Article, 228-229