Achilles Tendon Rupture (cont.)
- Nonsurgical treatment involves extended casting, special braces, orthotics, and physical therapy.
- Avoids the normal complications and expenses of surgery.
- Some studies show the outcome is similar to surgery in regard to strength and function.
- There is risk of an over-lengthened tendon with inadequate tension.
- Extended immobilization can lead to more muscle weakness.
- Nonsurgical treatment has a higher incidence of re-rupture than surgical repair.
- Nonsurgical treatment is often used for nonathletes or for those with a general low level of physical activity who would not benefit from surgery. The elderly and those with complicating medical conditions should also consider conservative nonsurgical treatment.
Christopher C Nannini, MD
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