Achilles Rupture - Surgery vs. Non-Surgery

Complete Achilles rupture treatment - Do you need surgery for a torn Achilles, or is it better to take a conservative approach, where you allow the tendon to grow back together by itself? Sports physio Maryke Louw discusses the factors to consider when making this decision, based on the latest research. 🌟Need more help with an Achilles problem? You’re welcome to consult one of the team at TMA via video call for an assessment of your Achilles injury and a tailored treatment plan: https://www.treatmyachilles.com 📽️ Other videos you may find useful: ▶️ Partial Achilles Tear/Rupture Symptoms:    • Partial Achilles Tear/Rupture Symptoms   ▶️ Partial Achilles Tear Healing Time:    • Partial Achilles Tear Recovery/Healing Time   ▶️ Partial Achilles Tear Treatment:    • Partial Achilles Tear Treatment   ▶️ Does a Partially Torn Achilles Require Surgery?:    • Does a Partially Torn Achilles Require Sur...   ▶️ Achilles Rehab after Surgery - Exercises and Recovery Times:    • Achilles Rehab after Surgery - Exercises a...   ▶️ Stem Cell Treatment for Achilles Injuries - Yay or Nay?    • Stem Cell Treatment for Achilles Injuries ...   ✍🏽 Non-surgical treatment for complete Achilles tendon ruptures (article - video to follow soon): https://www.treatmyachilles.com/post/... 📚Chapters in this video: 00:00:00 Introduction 00:00:53 Is surgery the best option? 00:05:25 Important rehab factors 00:06:57 Injections 00:08:26 How we can help ------------------- 🖥️Some of the software we use to run our online physiotherapy practice: ➡️ Website hosting and management - Wix: https://geni.us/uyiB ➡️ Appointment scheduling - Acuity: https://geni.us/ayXb91 ➡️ Consultations - Zoom One (Pro): https://geni.us/eEeC ➡️ Rehab exercise library - Wibbi: https://geni.us/JIODEpQ (Free trial plus discount via this link) ➡️ Patient satisfaction survey - Typeform: https://geni.us/1Pn4F5p ➡️ In-house task planner - Notion: https://geni.us/yArdF6 ➡️ Patient notes - Cliniko: https://geni.us/L5Q3H (Get £30 off your subscription via this link) ➡️ Bookkeeping - FreeAgent: https://geni.us/TZfc7b (Get 10% off your subscription via this link) ➡️ Taking online payments - Square: https://geni.us/nZUbyi (Get a choice of rewards via this link) 👉Some links here are to places where you can buy something relevant. If you do, we may get a small commission at no extra cost to you. References: Barfod, K. W., et al. (2020). "Risk of Deep Vein Thrombosis After Acute Achilles Tendon Rupture: A Secondary Analysis of a Randomized Controlled Trial Comparing Early Controlled Motion of the Ankle Versus Immobilization." Orthopaedic Journal of Sports Medicine 8(4): 2325967120915909. Brukner & Khan et al. (2016) CLINICAL SPORTS MEDICINE: INJURIES, VOL. 1 Guss, D., et al. (2015). "Acute Achilles tendon rupture: A critical analysis review." JBJS reviews 3(4). Manent, A., et al. (2019). "Acute Achilles Tendon Ruptures: Efficacy of Conservative and Surgical (Percutaneous, Open) Treatment—A Randomized, Controlled, Clinical Trial." The Journal of Foot and Ankle Surgery 58(6): 1229-1234. Mansfield, K., Dopke, K., Koroneos, Z., Bonaddio, V., Adeyemo, A., & Aynardi, M. (2022). Achilles tendon ruptures and repair in athletes—a review of sports-related Achilles injuries and return to play. Current Reviews in Musculoskeletal Medicine, 15(5), 353-361. Singh, D. (2017). "Acute Achilles tendon rupture." British Journal of Sports Medicine 51(15): 1158-1160. Wu, Yaohong, et al. "Is surgical intervention more effective than non-surgical treatment for acute Achilles tendon rupture? A systematic review of overlapping meta-analyses." International Journal of Surgery (2016). Aujla, R. et al. (2018) “Acute Achilles tendon rupture treatment: Where are we now?” Journal of Arthroscopy and Joint Surgery 5(3): 139-144. Seow, D. et al. (2023) “Lower re-rupture rates but higher complication rates following surgical versus conservative treatment of acute achilles tendon ruptures: a systematic review of overlapping meta-analyses” Knee Surg Sports Traumatol Arthrosc 31(8): 3528-3540. Keene, D. J. et al. (2022) “Platelet-rich plasma injection for acute Achilles tendon rupture” Bone Joint J 104-B(11): 1256-1265.

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