Evidence map›Paper›PMID 40309396›Full record

ArticleFoot & ankle orthopaedics2025

Achilles Tendon Rupture Treatment Systematic Review and Meta-analysis.

Sara España Fernández de Valderrama, Beatriz García Martínez, Laura Ezquerra Herrando

Abstract read
In one paragraph

Article in Foot & ankle orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sara España Fernández de ValderramaOrthopaedic Surgery Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.ORCID https://orcid.org/0000-0003-4851-4097
Beatriz García MartínezOrthopaedic Surgery Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Laura Ezquerra HerrandoOrthopaedic Surgery Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute Achilles tendon rupture (ATR) has increased in recent decades, reflecting the longer life expectancy and higher levels of activity. Surgical intervention has been the main treatment, but recently there has been growing interest in nonoperative approaches. Study compares surgical and conservative treatment of acute ATR, examining demographic data, rerupture rate, complications, and functional scale Achilles Total Tendon Rupture Score (ATRS). Methods: A literature review was conducted including randomized clinical trials and prospective cohorts. RevMan software was employed to ascertain the Results: Ten studies, published after 2010, were included in the analysis. Of the total 1327 participants, 57.8% received surgical treatment and 42.2% nonsurgical treatment. The follow-up was between 12-24 months. The rerupture rate was lower in surgical treatment (RR 0.28, 95% CI 0.15-0.50; Conclusion: Surgical repair of acute ATR significantly reduces the risk of rerupture but it is associated with a higher rate of complications. Furthermore, there are no significant differences in the various functional scales in terms of patient satisfaction between the 2 treatments. Level of Evidence: II, meta-analysis.

Indexed as

acute Achilles tendon rupturecomplicationsconservative treatmentrerupture ratesurgical treatment

Identifiers

PMID40309396
PMCPMC12041693

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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.