Acute Achilles tendon rupture. Ouch! What to do now?
What is the optimal treatment of acute achilles tendon rupture? The options are to let the tendon scar over time (and not have surgery) OR to have an operation to sew the two parts of the Achilles tendon together.
Outcome: Nonsurgical management had 7% complication rate and had 4 time more chance of re-rupture rate compared to those who had surgery.
In comparison, for those who had surgery the re-rupture rate was only 3.6% (it was 12% re-rupture rate with non-operative management). Surgical treatment has fewer re-ruptures, but more complications.
If you have surgery, is there a way to decrease risk and increase benefit? Yes. Minimally invasive surgery has fewer complications than an open surgical approach. There is no difference in re-rupture rate with minimally invasive surgery compared to open surgery .
So, if you have an achilles tendon rupture, ask your orthopaedic surgeon if they can perform the reattachment with minimally invasive surgery.