Operative versus nonoperative management of acute Achilles tendon rupture: a systematic review and meta-analysis of clinical outcomes from randomized controlled trials.

ABSTRACT:

Objective

The objective of this study was to compare the differences in re-rupture rates, complications, and functional assessments of Achilles tendon ruptures (ATRs) treated operatively or nonoperatively to guide clinical treatment choices.

Methods

A literature search was performed in the PubMed, Cochrane Library, and Embase databases up to March 1, 2025, for randomized controlled trials (RCTs) involving patients with ATR receiving operative and nonoperative therapies. Primary outcomes included re-rupture rates, complications, and functional assessment. Meta-analysis of the extracted data was carried out using Review Manager 5.3 and Stata 17.0.

Results

A total of 14 RCTs were included in the meta-analysis, comprising 1,628 participants. The meta-analysis results reve

SUBMITTER: Xu S 

PROVIDER: S-EPMC12624965 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature