Surgical management of chronic Achilles tendon rupture: evidence-based guidelines
Abstract Background Chronic Achilles tendon ruptures (CATR) often require surgical intervention to restore function. Despite numerous treatment modalities available, the optimal management strategy remains controversial given the limited high-quality evidence available. This article aims to provide...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-024-04559-5 |
| _version_ | 1827326752566804480 |
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| author | Shi-Ming Feng Nicola Maffulli Francesco Oliva Amol Saxena Yue-Feng Hao Ying-Hui Hua Hai-Lin Xu Xu Tao Wei Xu Filippo Migliorini Chao Ma |
| author_facet | Shi-Ming Feng Nicola Maffulli Francesco Oliva Amol Saxena Yue-Feng Hao Ying-Hui Hua Hai-Lin Xu Xu Tao Wei Xu Filippo Migliorini Chao Ma |
| author_sort | Shi-Ming Feng |
| collection | DOAJ |
| description | Abstract Background Chronic Achilles tendon ruptures (CATR) often require surgical intervention to restore function. Despite numerous treatment modalities available, the optimal management strategy remains controversial given the limited high-quality evidence available. This article aims to provide evidence-based guidelines for the surgical management of CATR through a comprehensive systematic review of the available data. The consensus reached by synthesizing the findings will assist clinicians in making informed decisions and improving patient outcomes. Methods A group of 9 foot surgeons in three continents was consulted to gather their expertise on guidelines regarding the surgical management of CATR. Following the proposal of 9 clinical topics, a thorough and comprehensive search of relevant literature published since 1980 was conducted for each topic using electronic databases, including PubMed, MEDLINE, and Cochrane Library, to identify relevant studies published until 1 October 2023. All authors collaborated in drafting, discussing, and finalizing the recommendations and statements. The recommendations were then categorized into two grades: grade a (strong) and grade b (weak), following the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) concept. Additionally, feedback from 21 external specialists, who were independent from the authors, was taken into account to further refine and finalize the clinical guidelines. Results Nine statements and guidelines were completed regarding surgical indications, surgical strategies, and postoperative rehabilitation protocol. Conclusion Based on the findings of the systematic review, this guideline provides recommendations for the surgical management of CATR. We are confident that this guideline will serve as a valuable resource for physicians when making decisions regarding the surgical treatment of patients with CATR. |
| first_indexed | 2024-03-07T14:50:03Z |
| format | Article |
| id | doaj.art-e7e97a6ff9414be18d4b84d38b6be62a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-07T14:50:03Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-e7e97a6ff9414be18d4b84d38b6be62a2024-03-05T19:45:42ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-02-0119111310.1186/s13018-024-04559-5Surgical management of chronic Achilles tendon rupture: evidence-based guidelinesShi-Ming Feng0Nicola Maffulli1Francesco Oliva2Amol Saxena3Yue-Feng Hao4Ying-Hui Hua5Hai-Lin Xu6Xu Tao7Wei Xu8Filippo Migliorini9Chao Ma10Orthopaedic Department, Sports Medicine Department, Xuzhou Central HospitalDepartment of Medicine and PsychologyDepartment of Sports Traumatology, Universita’ Telematica San RaffaeleDepartment of Sports MedicineOrthopedics and Sports Medicine Center, Suzhou Municipal Hospital, Nanjing Medical University Affiliated Suzhou HospitalDepartment of Sports Medicine, Huashan Hospital, Fudan UniversityDepartment of Trauma and Orthopedic, People’s Hospital, Peking UniversityDepartment of Sports Medicine, Southwest Hospital, Army Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Medical CentreOrthopaedic Department, Sports Medicine Department, Xuzhou Central HospitalAbstract Background Chronic Achilles tendon ruptures (CATR) often require surgical intervention to restore function. Despite numerous treatment modalities available, the optimal management strategy remains controversial given the limited high-quality evidence available. This article aims to provide evidence-based guidelines for the surgical management of CATR through a comprehensive systematic review of the available data. The consensus reached by synthesizing the findings will assist clinicians in making informed decisions and improving patient outcomes. Methods A group of 9 foot surgeons in three continents was consulted to gather their expertise on guidelines regarding the surgical management of CATR. Following the proposal of 9 clinical topics, a thorough and comprehensive search of relevant literature published since 1980 was conducted for each topic using electronic databases, including PubMed, MEDLINE, and Cochrane Library, to identify relevant studies published until 1 October 2023. All authors collaborated in drafting, discussing, and finalizing the recommendations and statements. The recommendations were then categorized into two grades: grade a (strong) and grade b (weak), following the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) concept. Additionally, feedback from 21 external specialists, who were independent from the authors, was taken into account to further refine and finalize the clinical guidelines. Results Nine statements and guidelines were completed regarding surgical indications, surgical strategies, and postoperative rehabilitation protocol. Conclusion Based on the findings of the systematic review, this guideline provides recommendations for the surgical management of CATR. We are confident that this guideline will serve as a valuable resource for physicians when making decisions regarding the surgical treatment of patients with CATR.https://doi.org/10.1186/s13018-024-04559-5Chronic Achilles tendon ruptureSurgical managementGuidelines |
| spellingShingle | Shi-Ming Feng Nicola Maffulli Francesco Oliva Amol Saxena Yue-Feng Hao Ying-Hui Hua Hai-Lin Xu Xu Tao Wei Xu Filippo Migliorini Chao Ma Surgical management of chronic Achilles tendon rupture: evidence-based guidelines Journal of Orthopaedic Surgery and Research Chronic Achilles tendon rupture Surgical management Guidelines |
| title | Surgical management of chronic Achilles tendon rupture: evidence-based guidelines |
| title_full | Surgical management of chronic Achilles tendon rupture: evidence-based guidelines |
| title_fullStr | Surgical management of chronic Achilles tendon rupture: evidence-based guidelines |
| title_full_unstemmed | Surgical management of chronic Achilles tendon rupture: evidence-based guidelines |
| title_short | Surgical management of chronic Achilles tendon rupture: evidence-based guidelines |
| title_sort | surgical management of chronic achilles tendon rupture evidence based guidelines |
| topic | Chronic Achilles tendon rupture Surgical management Guidelines |
| url | https://doi.org/10.1186/s13018-024-04559-5 |
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