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Surgical management of chronic ruptures of the Achilles tendon remains unclear : a systematic review of the management options

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Hadi, Mohammed, Young, J. (Jonathan), Cooper, L. (Lisa), Costa, Matthew L. and Maffulli, Nicola (2013) Surgical management of chronic ruptures of the Achilles tendon remains unclear : a systematic review of the management options. British Medical Bulletin, Volume 108 (Number 1). pp. 95-114. doi:10.1093/bmb/ldt019 ISSN 0007-1420.

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Official URL: http://dx.doi.org/10.1093/bmb/ldt019

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Abstract

Background Chronic ruptures of the Achilles tendon cause marked functional impairment. Given the different repair techniques used, there is a need for a systematic review of the literature to investigate whether these procedure are comparable with one another when performed by experienced surgeons.

Sources of data A systematic literature search using the Medline (Pubmed), EMBASE and CINHAL databases.

Areas of agreement Provided there are no contraindications, surgery is regarded the best management option.

Areas of controversy Most reports are case series with small sample sizes using non-validated measures.

Growing points Long-term results of surgical repair procedures are now available.

Areas timely for developing research The current literature does not allow clinicians to definitively determine the optimal management modality for chronic rupture of the Achilles tendon. There is a need for randomized controlled trials which use validated functional outcome measures.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Library of Congress Subject Headings (LCSH): Achilles tendon -- Wounds and injuries -- Surgery, Systematic reviews (Medical research)
Journal or Publication Title: British Medical Bulletin
Publisher: Oxford University Press
ISSN: 0007-1420
Official Date: 2013
Dates:
DateEvent
2013Published
Volume: Volume 108
Number: Number 1
Page Range: pp. 95-114
DOI: 10.1093/bmb/ldt019
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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