Structure and function of the Achilles tendon and plantarflexors after non-surgical management of Achilles tendon rupture: a cross-sectional study

Key Points

1. Conservative care for Achilles tendon ruptures has been shown to be a viable option for middle aged patients who do not have competitive sport goals.

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BACKGROUND & OBJECTIVE

Conservative treatment for Achilles tendon rupture (ATR) has gained popularity in recent years due to similar long-term outcomes compared to surgical repair (1). Surgery remains the preferred approach for competitive athletes with a more complete and expedient recovery expected (2-4). Drawbacks of surgery include an increased risk of complication, a longer immobilization and early recovery period, and the increased cost and burden to the individual and healthcare system.

The authors aimed to assess the structural and functional adaptations of the Achilles tendon over the course of 1 year following ATR utilizing diagnostic ultrasound imaging, isometric testing, and patient reported outcome measures of function, quality of life, and kinesophobia.

Conservative treatment for Achilles tendon rupture has gained popularity in recent years due to similar long-term outcomes compared to surgical repair.

Clinicians should feel confident that persistent fiber disorganization on ultrasound does not correlate with improvements in strength, function, or patient outcomes in rehabilitation.

METHODS

• This study was conducted through the National Health Service (NHS) of the United Kingdom where conservative management is the primary standard of care for ATR in this population: 82% male, average age 48.

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