Current treatment concepts for Achilles tendon rupture

Achilles tendon rupture is a common and primary cause of lower limb tendon injury suffered during sports-related activities. The causes of Achilles tendon rupture include the calf muscle and tendon overuse, poor tendon quality, and various medical conditions. Historically, acute Achilles tendon rupt...

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Main Authors: Chen-Chie Wang, Pei-Yu Chen, Kai-Chiang Yang, Chung-Li Wang, Ing-Ho Chen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=46;epage=52;aulast=
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author Chen-Chie Wang
Pei-Yu Chen
Kai-Chiang Yang
Chung-Li Wang
Ing-Ho Chen
author_facet Chen-Chie Wang
Pei-Yu Chen
Kai-Chiang Yang
Chung-Li Wang
Ing-Ho Chen
author_sort Chen-Chie Wang
collection DOAJ
description Achilles tendon rupture is a common and primary cause of lower limb tendon injury suffered during sports-related activities. The causes of Achilles tendon rupture include the calf muscle and tendon overuse, poor tendon quality, and various medical conditions. Historically, acute Achilles tendon rupture was treated conservatively. However, historical techniques are now associated with an increased risk of rerupture. To address this problem, open repair has been proposed. Open repair is associated with a reduced risk of rerupture; however, it is also closely associated with wound complications, like wound infection, whose treatment is time-consuming and costly. Therefore, minimally invasive Achilles tendon repair has been proposed as a promising option with acceptable functional outcomes. Nevertheless, despite its benefits, minimally invasive Achilles tendon repair is associated with increased risks of sural nerve injury and rerupture. In this review, we evaluate the currently used treatment strategies for acute Achilles tendon rupture and their historical evolution to provide evidence-based recommendations for physicians.
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spelling doaj-art-d24c3fcdf70a4a3697b14c06f15107ef2025-08-20T02:55:13ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562024-01-01361465210.4103/tcmj.tcmj_113_23Current treatment concepts for Achilles tendon ruptureChen-Chie WangPei-Yu ChenKai-Chiang YangChung-Li WangIng-Ho ChenAchilles tendon rupture is a common and primary cause of lower limb tendon injury suffered during sports-related activities. The causes of Achilles tendon rupture include the calf muscle and tendon overuse, poor tendon quality, and various medical conditions. Historically, acute Achilles tendon rupture was treated conservatively. However, historical techniques are now associated with an increased risk of rerupture. To address this problem, open repair has been proposed. Open repair is associated with a reduced risk of rerupture; however, it is also closely associated with wound complications, like wound infection, whose treatment is time-consuming and costly. Therefore, minimally invasive Achilles tendon repair has been proposed as a promising option with acceptable functional outcomes. Nevertheless, despite its benefits, minimally invasive Achilles tendon repair is associated with increased risks of sural nerve injury and rerupture. In this review, we evaluate the currently used treatment strategies for acute Achilles tendon rupture and their historical evolution to provide evidence-based recommendations for physicians.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=46;epage=52;aulast=achilles tendon ruptureminimally invasiveultrasound
spellingShingle Chen-Chie Wang
Pei-Yu Chen
Kai-Chiang Yang
Chung-Li Wang
Ing-Ho Chen
Current treatment concepts for Achilles tendon rupture
Tzu Chi Medical Journal
achilles tendon rupture
minimally invasive
ultrasound
title Current treatment concepts for Achilles tendon rupture
title_full Current treatment concepts for Achilles tendon rupture
title_fullStr Current treatment concepts for Achilles tendon rupture
title_full_unstemmed Current treatment concepts for Achilles tendon rupture
title_short Current treatment concepts for Achilles tendon rupture
title_sort current treatment concepts for achilles tendon rupture
topic achilles tendon rupture
minimally invasive
ultrasound
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2024;volume=36;issue=1;spage=46;epage=52;aulast=
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