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Medicina (Kaunas) ; 58(9)2022 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-36143872

RESUMEN

Background and Objective: Acute Achilles tendon rupture (AATR) is a common injury with a significant impact on daily living. Although various systematic reviews and meta-analyses have been written on the topic, no actual consensus exists on the best treatment. We aimed to collect the highest quality of evidence on the subject and to produce a document to which to refer, from the diagnosis to the final treatment. Material and Methods: Inclusion criteria were systematic reviews discussing Achilles tendon rupture, concerning either diagnostic criteria, classification, or treatment; English language; clearly stated inclusion and exclusion criteria for patients' selection. Results: Thirteen systematic reviews were included in the study. A strong consensus exists about the higher risk of re-rupture associated with non-operative treatment and a higher risk of complications associated with surgical repair. Conclusions: The combination of minimally invasive repair and accelerated functional rehabilitation seems to offer the best results in the treatment of Achilles tendon rupture.


Asunto(s)
Tendón Calcáneo , Traumatismos del Tobillo , Traumatismos de los Tendones , Tendón Calcáneo/lesiones , Enfermedad Aguda , Humanos , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Rotura/diagnóstico , Rotura/terapia , Traumatismos de los Tendones/diagnóstico , Traumatismos de los Tendones/terapia , Resultado del Tratamiento
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