Comparison of conservative and surgical treatment in acute Achilles tendon rupture
Abstract
The objective of this review was to compare the surgical treatment and the conservative treatment to see which was the most effective in a new rupture. There were contradictory results. The key seems to be the rehabilitation protocol after the intervention.
A search was made in databases (Pubmed, Cochrane and PEDro) to find articles comparing both treatments. They were screened according to the inclusion and exclusion criteria.
We found out that studies that do not use a rehabilitation protocol with loading had a result in favor of surgical treatment to avoid recurrence (P = 0.002). However, the studies that used this protocol didn’t find as much difference of new rupture between conservative and surgical treatment (P = 0.05). It was found that the surgical treatment was related to the increase in complications (P = 0.004).
In conclusion, the surgical treatment is related to a lower rate of new rupture, unless there were a rehabilitation protocol of early weighting. In this case, the recurrence rate is similar for both treatments, always bearing in mind that open surgery is related to more complications.
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