SynthesisJournal of orthopaedic surgery and research2016
Minimally invasive versus open surgery for acute Achilles tendon rupture: a systematic review of overlapping meta-analyses.
Synthesis in Journal of orthopaedic surgery and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- How can clinicians choose between conflicting and discordant systematic reviews? A replication study of the Jadad algorithm.BMC medical research methodology · 2022Pooled it
- Open versus minimally-invasive surgery for Achilles tendon rupture: a meta-analysis study.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Unilateral versus bilateral pedicle screw fixation in lumbar fusion: A systematic review of overlapping meta-analyses.PloS one · 2019Pooled it
- Patellar resurfacing versus patellar retention in primary total knee arthroplasty: a systematic review of overlapping meta-analyses.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Endoscopic flexor hallucis longus transfer in the patients with chronic achilles rupture.Journal of orthopaedic surgery and research · 2026Article
- PROPOSAL FOR A REHABILITATION PROTOCOL AFTER CALCANEAL TENDON RECONSTRUCTION: FROM THE IMMEDIATE POST-OPERATIVE PERIOD TO RETURN TO SPORTS PRACTICE.Acta ortopedica brasileira · 2025Article
- Article
- iTRAQ-based proteomics reveals potential markers and treatment pathways for acute Achilles tendon rupture.Journal of orthopaedic surgery and research · 2023Article
- Article
- Modified Bunnell suture repair versus bundle-to-bundle suture repair for acute Achilles tendon rupture: a prospective comparative study of patients aged <45 years.BMC musculoskeletal disorders · 2020Article
- Comparison of channel-assisted minimally invasive repair and 3 common Achilles tendon restoration techniques.Experimental and therapeutic medicine · 2019Article
- Correction to: Total disc replacement versus fusion for lumbar degenerative disc disease: a systematic review of overlapping meta-analyses.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Minimally invasive surgery and percutaneous surgery of the hindfoot and midfoot.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Retraction Note: minimally invasive versus open surgery for acute Achilles tendon rupture: a systematic review of overlapping meta-analyses.Journal of orthopaedic surgery and research · 2018Article
- Achilles tendon injuries.Current reviews in musculoskeletal medicine · 2017Review
Corrections and comments
- Retraction · 2018-06-19Euphemisms for Plagiarism · Plagiarism of/in Article ·
- Retracted
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA number of meta-analyses have been carried out to evaluate the effects of minimally invasive surgery (MIS) versus open surgery (OS) for acute Achilles tendon rupture. However, discordant findings were seen in these meta-analyses. The present study, performing a systematic review of overlapping meta-analyses regarding MIS versus OS of acute Achilles tendon rupture, aimed to assist decision-makers interpret and choose among conflicting meta-analyses, as well as to offer treatment recommendations based on current best evidence.
methodsThe literature search was performed to identify systematic reviews comparing MIS with OS for Achilles tendon rupture. Meta-analyses only comprising randomized controlled trials (RCTs) were included. Two authors individually evaluated the quality of meta-analysis and extracted data. The Jadad decision algorithm was conducted to ascertain which meta-analysis offered the best evidence.
resultsA total of four meta-analyses was included. All these meta-analyses comprised RCTs or quasi-RCTs and were determined as Level-II evidence. The scores of the Assessment of Multiple Systematic Reviews (AMSTAR) ranged from 7 to 10 (median 9.5). The Jadad algorithm indicated that the best meta-analysis should be chosen according to the search strategies and application of selection. A high-quality meta-analysis with more RCTs was chosen, which suggested that there was no statistically significant difference between MIS and OS regarding rerupture rate, tissue adhesion, sural nerve injury, deep infection, and deep vein thrombosis. However, MIS could decrease superficial infection rate, and had a better patient satisfaction for good to excellent outcomes in comparison to OS.
conclusionsBased on the best available evidence, MIS may be superior to OS for treating acute Achilles tendon rupture. However, due to some limitations, this should be cautiously interpreted, and further high-quality studies are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.