Non-Operative or Surgical Treatment of Acute Achilles Tendon Rupture

Description

Dr. Dev Mahadevan presents his research on the treatment options for Achilles tendon ruptures, comparing non-operative and surgical methods. He shares insights from a recent study published in the New England Journal of Medicine, which conducted a multicenter, randomized controlled trial involving 554 patients. The study aimed to determine whether surgical intervention leads to superior outcomes compared to conservative treatment methods. Key findings indicate that there were no significant differences in patient outcomes as measured by the American Toe-Raise Score (ATRS), physical performance tests, or adverse events like nerve injuries and infections across the three treatment groups. While re-rupture rates were higher among non-operative patients, the findings challenge conventional approaches, suggesting that functional rehabilitation could be equally effective. Dr. Mahadevan encourages further research, proposing future trials to explore different rehabilitation protocols for athletes recovering from Achilles ruptures.

DOI: 10.1302/3114-240887

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