Management of chronic Achilles ruptures: a scoping review.
Lau, Edward Jun Shing
Leow, Shu Hui
Springer Science and Business Media LLC
MetadataShow full item record
Arshad, Z., Lau, E. J. S., Leow, S. H., & Bhatia, M. (2021). Management of chronic Achilles ruptures: a scoping review.. Int Orthop, 45 (10), 2543-2559. https://doi.org/10.1007/s00264-021-05102-5
PURPOSE: This scoping review aims to systematically map and summarise the available evidence on the management of chronic Achilles ruptures, whilst identifying prognostic factors and areas of future research. METHODS: A scoping review was performed according to the frameworks of Arksey and O'Malley, Levac and Peters. A computer-based search was performed in PubMed, Embase, EmCare, CINAHL, ISI Web of Science and Scopus, for articles reporting treatment of chronic Achilles ruptures. Two reviewers independently performed title/abstract and full text screening according to pre-defined selection criteria. RESULTS: A total of 747 unique articles were identified, of which 73 (9.8%) met all inclusion criteria. A variety of methods are described, with flexor hallucis longus tendon transfer being the most common. The most commonly reported outcome is the American Orthopaedic Foot and Ankle Society (AOFAS) score, although 16 other measures were reported in the literatures. All studies comparing pre- and post-operative outcomes reported significant post-treatment improvement. Complications were reported in 50 studies, with an overall pooled complication rate of 168/1065 (15.8%). CONCLUSION: Although beneficial results were reported following a variety of techniques, comparison between these is challenging due to the low-level study designs used and confounding factors such as treatment delay and tendon gap size. Further research comparing the efficacy of different techniques is required in order to facilitate the development of an evidence-based treatment protocol. Such work would allow clinicians to better understand the suitability of the large variety of reported techniques and select the optimal strategy for each individual patient.
Achilles, Achilles tendon rupture, Chronic rupture, Neglected rupture, Scoping review, Achilles Tendon, Chronic Disease, Humans, Rupture, Tendon Transfer, Treatment Outcome
External DOI: https://doi.org/10.1007/s00264-021-05102-5
This record's URL: https://www.repository.cam.ac.uk/handle/1810/329353
Recommended or similar items
The current recommendation prototype on the Apollo Repository will be turned off on 03 February 2023. Although the pilot has been fruitful for both parties, the service provider IKVA is focusing on horizon scanning products and so the recommender service can no longer be supported. We recognise the importance of recommender services in supporting research discovery and are evaluating offerings from other service providers. If you would like to offer feedback on this decision please contact us on: email@example.com