Achilles tendon rupture managed operatively decreases rerupture but increases complication .
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Operative versus nonoperative treatment for acute Achillestendon rupture: a meta-analysis based on current evidence
Int Orthop. 2012 Apr;36(4):765-73. Epub 2011 Dec 9.10 randomised control trials were identified from the literature that compared the use of operative and nonoperative treatment for acute ruptures of the Achilles tendon. 894 patients were identified from these studies. Meta-analysis revealed that patients who underwent operative treatment were less likely to have a re-rupture (RR 0.44, p=0.002); however, these patients were more likely to suffer other complications. Functional analysis was not conducted, due to the heterogeneity of functional outcome reporting.
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