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CARTA vs Surgical and Nonsurgical Care for Achilles Rupture: No Difference in Muscle or Tendon
August 2025
CARTA vs Surgical and Nonsurgical Care for Achilles Rupture: No Difference in Muscle or Tendon
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Effect of the Copenhagen Achilles Rupture Treatment Algorithm (CARTA) on Calf Muscle Volume and Tendon Elongation After Acute Achilles Tendon Rupture: A Predefined Secondary Analysis of the First 60 Patients in a Randomized Controlled Trial.
Orthop J Sports Med . 2023 Nov 21;11(11):23259671231211282.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Sixty patients with acute Achilles tendon rupture were randomized to treatment using CARTA (n=21), nonsurgical management (n=20), or surgical repair (n=19). Outcomes were calf muscle volume and Achilles tendon elongation, measured by MRI after 12 months. Secondary measures included limb symmetry index and subgroup comparisons of surgical vs nonsurgical treatments. Overall, the study found no stati...
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