Operative, nonoperative management of Achilles tendon rupture yielded similar outcomes
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Key takeaways:
- Results showed more patients in the operative group achieved the minimal clinically important difference by 12 weeks.
- There was no significant difference in re-rupture rates between the two groups.
Results presented at the American Orthopaedic Foot & Ankle Society Annual Meeting showed operative and nonoperative management are both effective treatment options for Achilles tendon ruptures and yield similar outcomes.
David J. Ciufo, MD, of the University of Rochester Medical Center, and colleagues performed a retrospective review of 216 patients who underwent either nonoperative (n = 115) or operative (n = 101) management of an Achilles tendon rupture between January 2015 and November 2022.
Outcomes measures included Patient-Reported Outcomes Measurement Information System (PROMIS) physical function, pain interference and depression scores collected preoperatively and at a follow-up visit, as well as the minimal clinically important difference (MCID). Patients were followed up with at 2 weeks, 6 weeks, 12 weeks and 6 months postoperatively.
Ciufo said that a higher percentage of patients in the operative group achieved the MCID by 12 weeks vs. the nonoperative group, but the difference was not statistically significant by 6 months. Nonoperative management was associated with similar rates of re-rupture, PROMIS pain interference and depression scores, and chances of meeting the MCID vs. operative management, according to the abstract.
“Patients still do great with both operative and nonoperative treatment,” Ciufo said in his presentation. “You just have to individualize your care and have that discussion and find out what is right for your patient.”
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Ciufo DJ, et al. A comparative analysis of outcomes using PROMIS after operative versus non-operative treatment of Achilles rupture. Presented at: American Orthopaedic Foot & Ankle Society Annual Meeting; Sept. 11-14, 2024; Vancouver, British Columbia, Canada (hybrid meeting).
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