Current Concepts in Achilles Tendon Ruptures

Clin Podiatr Med Surg. 2024 Jan;41(1):153-168. doi: 10.1016/j.cpm.2023.09.001. Epub 2023 Sep 26.

Abstract

The Achilles tendon has a high incidence of ruptures often occurring in weekend warriors and the aging population. Based on anatomic studies of the Achilles tendon, ruptures are commonly found in the watershed area proximal to the insertion site. Traditionally, treatment options included conservative therapy with immobilization and a prolonged non-weight-bearing phase versus surgical treatment. Surgical treatment can vary between open, minimally invasive, or percutaneous approaches. In more recent years, early functional rehabilitation with or without surgery has shown to have successful results.

Keywords: Early functional rehabilitation; Minimally invasive surgery; Open repair; Percutaneous surgery.

Publication types

  • Review

MeSH terms

  • Achilles Tendon* / surgery
  • Aged
  • Ankle Injuries*
  • Humans
  • Minimally Invasive Surgical Procedures
  • Physical Therapy Modalities
  • Rupture / surgery
  • Tendon Injuries* / surgery
  • Treatment Outcome