Original ResearchRerupture Rate after Early Weightbearing in Operative Versus Conservative Treatment of Achilles Tendon Ruptures: A Meta-analysis
Section snippets
Patients and Methods
The present study was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (12).
Data Search
The search resulted in 32 potentially relevant studies. Of these, 10 met the inclusion criteria. However, 3 studies were excluded because no comparison had been done between operative and nonoperative treatment. Thus, 7 randomized controlled trials, with 624 patients, were included in the present meta-analysis (Fig. 1).
After 1 year of follow-up, a total of 576 patients were eligible for evaluation. Of these 576 patients, 290 were treated operatively and 286 were treated nonoperatively.
Of the 7
Discussion
The present meta-analysis showed no significant differences in the rate of rerupture in surgically treated patients and conservatively treated patients after early weightbearing. An analysis of patients with delayed weightbearing after 4 or more weeks also did not demonstrate a difference in the rerupture rate. Also, no differences were seen in the incidence of minor or major complications after early weightbearing in the surgically and conservatively treated patients. However, for the total
Acknowledgment
The authors would like to thank N. Keulen, MD, for her contribution during the initial search, the assessment of the abstracts, studies, and quality assessment, and data extraction.
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Financial Disclosure: None reported.
Conflict of Interest: None reported.