Article

The Achilles tendon (AT) is the most frequently ruptured tendon in the human body
yet the aetiology remains poorly understood. Despite the extensively published
literature, controversy still surrounds the optimum treatment of complete
rupture. Both non-operative management and percutaneous repair are attractive
alternatives to open surgery, which carries the highest complication and cost
profile. However, the lack of a universally accepted scoring system has limited
any evaluation of treatment options. A typical UK district general hospital
treats approximately 3 cases of AT rupture a month. It is therefore important for
orthopaedic surgeons to correctly diagnose and treat these injuries with respect
to the best current evidence-based practice. In this review article, we discuss
the relevant pathophysiology and diagnosis of the ruptured AT and summarize the
current evidence for treatment.

Langue : ANGLAIS