ArticleBMJ open sport & exercise medicine2024
Acute Achilles tendon ruptures between 2002-2021: sustained increased incidence, surgical decline and prolonged delay to surgery-a nationwide study of 53 688 ruptures in Sweden.
Article in BMJ open sport & exercise medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06601088 (Acute Achilles Tendon Rupture - Intervention With Neuromuscular Electrical Stimulation), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
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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.
Acute Achilles Tendon Rupture - Intervention With Neuromuscular Electrical Stimulation
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incidence, Temporal Trends, and Surgical Shift of Achilles Tendon Rupture: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Mini-open versus percutaneous surgical repair for acute Achilles tendon rupture: a systematic review and meta-analysis.International orthopaedics · 2025Pooled it
- Nonoperative treatment of Achilles tendon rupture with 6- versus 8-week protocol: a single-center cohort study from Finland.Acta orthopaedica · 2026Article
- Tendon elongation in the free tendon is evident in patients with and without persistent muscle weakness following an Achilles tendon rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Discordance Between Patient-Reported Outcomes and Heel-Rise Limb Symmetry After Surgical Repair of Acute Achilles Tendon Rupture.Journal of clinical medicine · 2026Article
- Patient-Centered Outcomes After Minimally Invasive Internal Splinting Versus Open Achilles Tendon Repair: Comparable Clinically Meaningful Recovery at 12 Months.Journal of clinical medicine · 2026Article
- Superior Tendon Repair and Healing Ability of PLGA Sutures Are Related to the Weaker Regulatory T-cell and Macrophage Responses Compared With PGA Sutures in a Rat Model.Orthopaedic journal of sports medicine · 2026Article
- Ultrasound-guided Achilles tendon rupture repair using knotless barbed suture: a cadaveric study.Journal of medical ultrasonics (2001) · 2026Article
- Incidence rates of tendinopathies and non-traumatic tendon ruptures in Hong Kong: a 25-year epidemiological study using big data from public hospitals.Scientific reports · 2026Article
- Effect of biodegradable magnesium foil as an anti-adhesion barrier on the healing of rat Achilles tendon.Frontiers in bioengineering and biotechnology · 2026Article
- The experience of individuals following non-surgical management of Achilles tendon rupture in the United Kingdom - a qualitative study.PloS one · 2026Article
- Change in compensated patient injuries in the treatment of Achilles tendon rupture: a nationwide analysis from 2000 to 2019.Acta orthopaedica · 2025Article
- Interlimb differences in gait kinematics, kinetics, and muscle activation during walking and running one year after acute unilateral Achilles tendon rupture.Journal of orthopaedic surgery and research · 2025Article
- A New Surgical Technique for Achilles Tendon Rupture: A Retrospective Study of 18 Cases.Indian journal of orthopaedics · 2025Article
- Compensation Claims After Treatment of Achilles Tendon Ruptures in Norway From 2010 to 2020.Foot & ankle orthopaedics · 2025Article
- Article
- Endoscopic Flexor Hallucis Longus Transfer With Interference Screw and Additional Tension Slide Cortical Button for Chronic Achilles Tendon Rupture.Foot & ankle orthopaedics · 2025Article
- Re-rupture rate and complications after percutaneous Tenolig® repair in acute midsubstance rupture of Achilles tendon.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Given the lack of consensus on optimal treatment strategies for acute Achilles tendon rupture (ATR), understanding temporal trends, treatment choice and demographic characteristics is important. Previous research suggests increasing incidence with declining surgical treatment. Current trends in Sweden are not known. Hypothesis/purpose: To assess how incidence rates, treatment trends and time from injury to surgery (TTS) of ATR have changed between 2002 and 2021 in Sweden, with particular attention to changes since 2012. Study design: Descriptive epidemiology study. Methods: We conducted a nationwide register-based study including all inpatients and outpatients ≥18 years of age with an ATR between 2002 and 2021 in Sweden. Results: 53 688 ATRs (78.5% men) were identified during the study period. 15 045 patients (81.5% men) were surgically treated within 30 days. The long-term incidence rate for ATR injury increased by 45%, from 28.8 in 2002 to 41.7 in 2021 per 100 000 person-years (p<0.0001). In the last 5 years of the study, there was a significant, continuing increase in ATR incidence by 21%, from 34.4 in 2017 to 41.7 in 2021 per 100 000 person-years (p<0.0001). The surgical incidence rates decreased from 13.4 to 6.0 per 100 000 person-years (p<0.0001). TTS increased from 0.6 days in 2002 to 5.1 in 2021 (p<0.0001). Conclusion: The observed increase in incidence rates and decrease in surgical treatment of ATR emphasise the need for evidence-based treatment and rehabilitation protocols for non-operated patients of all ages. A significant increase in time from injury to surgery was observed throughout the study period.
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