ArticleBMC musculoskeletal disorders2020
Treatment of acute Achilles tendon rupture - a multicentre, non-inferiority analysis.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical treatment versus conservative management for acute Achilles tendon rupture: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Randomised three-armed trial investigation of the Copenhagen Achilles tendon Rupture Treatment Algorithm (CARTA) for individualised treatment of acute Achilles tendon rupture.British journal of sports medicine · 2026Trial
- Return to Sport and Return to Self-Reported Preinjury Level After Surgical Repair of Acute Achilles Tendon Rupture: A 2-Year Prospective Cohort Analysis.Journal of clinical medicine · 2026Article
- Fear of Reinjury Is Associated With Worse Physical Function Measured by PROMIS Following Minimally Invasive Achilles Rupture Repair.Foot & ankle orthopaedics · 2026Article
- Percutaneous Repair in Patients Aged 50 Years and Older Is Associated With Good Outcomes in Acute Achilles Tendon Rupture.Foot & ankle orthopaedics · 2026Article
- Comparing Quantification Methodologies for the Single-Leg Heel-Rise in Patients Following Operative and Non-Operative Management for Achilles Tendon Rupture.International journal of sports physical therapy · 2026Article
- Outcomes of Non-operatively Managed Achilles Tendon Rupture: A Retrospective, Single-Centre Study.Cureus · 2025Article
- Functional outcomes following minimally invasive Achilles rupture repair: a retrospective comparative study of PARS and midsubstance speedbridge techniques.Journal of orthopaedic surgery and research · 2025Article
- Conservative treatment of achilles tendon rupture: a systematic review comparative with surgical treatment.Orthopedic reviews · 2025Article
- Article
- Recent developments in Achilles tendon risk-analyzing rupture factors for enhanced injury prevention and clinical guidance: Current implications of regenerative medicine.Journal of orthopaedic translation · 2024Review
- Fast Functional Rehabilitation Protocol versus Plaster Cast Immobilization Protocol after Achilles Tendon Tenorrhaphy: Is It Different? Clinical, Ultrasonographic, and Elastographic Comparison.Diagnostics (Basel, Switzerland) · 2022Article
- Correction to: Treatment of acute Achilles tendon rupture - a multicentre, non-inferiority analysis.BMC musculoskeletal disorders · 2021Article
- Achilles Tendon Rupture: Mechanisms of Injury, Principles of Rehabilitation and Return to Play.Journal of functional morphology and kinesiology · 2020Review
- The economic cost and patient-reported outcomes of chronic Achilles tendon ruptures.Journal of experimental orthopaedics · 2020Article
- Current Concepts in the Management of Achilles Tendon Injuries.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile numerous clinical studies have compared the surgical and non-surgical treatment of acute Achilles tendon rupture (ATR), there are no studies that have performed a non-inferiority analysis between treatments.
methodsData from patients who were included in five randomised controlled trials from two different centres in Sweden were used. Outcomes at 1 year after ATR consisted of the patient-reported Achilles tendon Total Rupture Score (ATRS) and the functional heel-rise tests reported as the limb symmetry index (LSI). The non-inferiority statistical 10% margin was calculated as a reflection of a clinically acceptable disadvantage in ATRS and heel-rise outcome when comparing treatments.
resultsA total of 422 patients (350 males and 72 females) aged between 18 and 71 years, with a mean age of 40.6 (standard deviation 8.6), were included. A total of 363 (86%) patients were treated surgically. The ATRS (difference (Δ) = - 0.253 [95% confidence interval (CI); - 5.673;5.785] p = 0.36) and LSI of heel-rise height (difference = 1.43 [95% CI; - 2.43;5.59] p = 0.81), total work (difference = 0.686 [95% CI; - 4.520;6.253] p = 0.67), concentric power (difference = 2.93 [95% CI; - 6.38;11.90] p = 0.063) and repetitions (difference = - 1.30 [95% CI; - 6.32;4.13] p = 0.24) resulted in non-inferiority within a Δ - 10% margin for patients treated non-surgically.
conclusionThe non-surgical treatment of Achilles tendon ruptures is not inferior compared with that of surgery in terms of 1-year patient-reported and functional outcomes.
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