Major functional deficits persist 2 years after acute Achilles tendon rupture

Abstract

Prospective randomized study, Level I.

Side-to-side differences in Achilles tendon geometry and mechanical properties following achilles tendon rupture

“…Prior studies have identified significant functional recovery 3 to 6 months post-injury, with smaller functional gains between 6 and 12 months 3,4 . No functional improvements and continued side-to-side deficits have been reported 1 to 2 years post-injury 1 . Detecting individual differences early in recovery requires the clinician to rely on objective, measurable outcomes to identify patients at risk for poor outcomes.…”

“…For instance, a prior study reported some patients being unable to perform a hopping task on their injured side at one year post-injury, while other patients were able to regain over 100% of their hopping capacity compared to the uninjured side 1 . Body mass index (BMI) and sex 2 have been associated with patient outcomes, but much of the variability between individuals remains unaccounted for even when treatment regimens are standardized 3 .…”

Risk Factors for Complications after Primary Repair of Achilles Tendon Ruptures

“…Achilles tendon rupture (ATR) is a fairly common injury that results in substantial morbidity with functional deficits persisting more than two years after the initial injury regardless of treatment [1]. The majority of Achilles tendon ruptures result from sports and exercise related activity [2,3].…”

Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture—A biomechanical evaluation

“…However, recent studies did not reveal significant advantages of suture repair over non-surgical treatment [9][10][11][12][13]. Throughout the 1980s fibrin gluing was widely used as an alternative to suture repair of acute Achilles tendon rupture with promising results [6,[14][15][16][17].…”