Operative treatment versus nonoperative treatment of Achilles tendon ruptures: systematic review and meta-analysis.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures. The primary outcome of interest was the rate of re-rupture. Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work. The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group. Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000. There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no significant difference between the operative and non-operative groups in the pooled result for time to return to work.