Medical News. A recent study showed that while surgical reconstruction of a ruptured Achilles tendon reduces the likelihood of recurrence, non-surgical interventions demonstrated similar rates of rupture when combined with early functional rehabilitation and range of motion.
Researchers reviewed 10 randomized trials comparing surgical and non-surgical treatment for acute Achilles tendon rupture.
The researchers found that recurrence rates were similar (the difference was 1.7%). Surgery was associated with an 8.8% decrease in recurrence rates, a 15.8% increase in other complications, and a faster return to work.
However, the two treatments were similar in leg circumference, strength, and functional outcomes.
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The researchers said that the analysis of the studies focused on the fact that non-surgical treatment should be adopted in centers that use functional rehabilitation, and that surgical reconstruction should be limited to centers that do not have a functional rehabilitation department.