Treatment of Acute Achilles Tendon Ruptures: A Meta-Analysis of Randomized, Controlled Trials
BackgroundThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (pr...
Saved in:
Published in | Journal of bone and joint surgery. American volume Vol. 87; no. 10; pp. 2202 - 2210 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Boston, MA
Copyright by The Journal of Bone and Joint Surgery, Incorporated
01.10.2005
Journal of Bone and Joint Surgery Incorporated Journal of Bone and Joint Surgery AMERICAN VOLUME |
Edition | American volume |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | BackgroundThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (proximal or distal to the knee) or a more mobile functional brace. The aim of this meta-analysis was to identify and summarize the evidence from randomized, controlled trials on the effectiveness of different interventions for the treatment of acute Achilles tendon ruptures.MethodsWe searched multiple databases (including EMBASE, CINAHL, and MEDLINE) as well as reference lists of articles and contacted authors. Keywords included Achilles tendon, rupture, and tendon injuries. Three reviewers extracted data and independently assessed trial quality with use of a ten-item scale.ResultsTwelve trials involving 800 patients were included. There was a variable level of methodological rigor and reporting of outcomes. Open operative treatment was associated with a lower risk of rerupture compared with nonoperative treatment (relative risk, 0.27; 95% confidence interval, 0.11 to 0.64). However, it was associated with a higher risk of other complications, including infection, adhesions, and disturbed skin sensibility (relative risk, 10.60; 95% confidence interval, 4.82 to 23.28). Percutaneous repair was associated with a lower complication rate compared with open operative repair (relative risk, 2.84; 95% confidence interval, 1.06 to 7.62). Patients who had been managed with a functional brace postoperatively (allowing for early mobilization) had a lower complication rate compared with those who had been managed with a cast (relative risk, 1.88; 95% confidence interval, 1.27 to 2.76). Because of the small number of patients involved, no definitive conclusions could be made regarding different nonoperative treatment regimens.ConclusionsOpen operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared with nonoperative treatment, but operative treatment is associated with a significantly higher risk of other complications. Operative risks may be reduced by performing surgery percutaneously. Postoperative splinting with use of a functional brace reduces the overall complication rate.Level of EvidenceTherapeutic Level I. See Instructions to Authors for a complete description of levels of evidence. |
---|---|
AbstractList | BackgroundThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (proximal or distal to the knee) or a more mobile functional brace. The aim of this meta-analysis was to identify and summarize the evidence from randomized, controlled trials on the effectiveness of different interventions for the treatment of acute Achilles tendon ruptures.MethodsWe searched multiple databases (including EMBASE, CINAHL, and MEDLINE) as well as reference lists of articles and contacted authors. Keywords included Achilles tendon, rupture, and tendon injuries. Three reviewers extracted data and independently assessed trial quality with use of a ten-item scale.ResultsTwelve trials involving 800 patients were included. There was a variable level of methodological rigor and reporting of outcomes. Open operative treatment was associated with a lower risk of rerupture compared with nonoperative treatment (relative risk, 0.27; 95% confidence interval, 0.11 to 0.64). However, it was associated with a higher risk of other complications, including infection, adhesions, and disturbed skin sensibility (relative risk, 10.60; 95% confidence interval, 4.82 to 23.28). Percutaneous repair was associated with a lower complication rate compared with open operative repair (relative risk, 2.84; 95% confidence interval, 1.06 to 7.62). Patients who had been managed with a functional brace postoperatively (allowing for early mobilization) had a lower complication rate compared with those who had been managed with a cast (relative risk, 1.88; 95% confidence interval, 1.27 to 2.76). Because of the small number of patients involved, no definitive conclusions could be made regarding different nonoperative treatment regimens.ConclusionsOpen operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared with nonoperative treatment, but operative treatment is associated with a significantly higher risk of other complications. Operative risks may be reduced by performing surgery percutaneously. Postoperative splinting with use of a functional brace reduces the overall complication rate.Level of EvidenceTherapeutic Level I. See Instructions to Authors for a complete description of levels of evidence. BACKGROUNDThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (proximal or distal to the knee) or a more mobile functional brace. The aim of this meta-analysis was to identify and summarize the evidence from randomized, controlled trials on the effectiveness of different interventions for the treatment of acute Achilles tendon ruptures.METHODSWe searched multiple databases (including EMBASE, CINAHL, and MEDLINE) as well as reference lists of articles and contacted authors. Keywords included Achilles tendon, rupture, and tendon injuries. Three reviewers extracted data and independently assessed trial quality with use of a ten-item scale.RESULTSTwelve trials involving 800 patients were included. There was a variable level of methodological rigor and reporting of outcomes. Open operative treatment was associated with a lower risk of rerupture compared with nonoperative treatment (relative risk, 0.27; 95% confidence interval, 0.11 to 0.64). However, it was associated with a higher risk of other complications, including infection, adhesions, and disturbed skin sensibility (relative risk, 10.60; 95% confidence interval, 4.82 to 23.28). Percutaneous repair was associated with a lower complication rate compared with open operative repair (relative risk, 2.84; 95% confidence interval, 1.06 to 7.62). Patients who had been managed with a functional brace postoperatively (allowing for early mobilization) had a lower complication rate compared with those who had been managed with a cast (relative risk, 1.88; 95% confidence interval, 1.27 to 2.76). Because of the small number of patients involved, no definitive conclusions could be made regarding different nonoperative treatment regimens.CONCLUSIONSOpen operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared with nonoperative treatment, but operative treatment is associated with a significantly higher risk of other complications. Operative risks may be reduced by performing surgery percutaneously. Postoperative splinting with use of a functional brace reduces the overall complication rate.LEVEL OF EVIDENCETherapeutic Level I. BACKGROUND: There is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (proximal or distal to the knee) or a more mobile functional brace. The aim of this meta-analysis was to identify and summarize the evidence from randomized, controlled trials on the effectiveness of different interventions for the treatment of acute Achilles tendon ruptures. METHODS: We searched multiple databases (including EMBASE, CINAHL, and MEDLINE) as well as reference lists of articles and contacted authors. Keywords included Achilles tendon, rupture, and tendon injuries. Three reviewers extracted data and independently assessed trial quality with use of a ten-item scale. RESULTS: Twelve trials involving 800 patients were included. There was a variable level of methodological rigor and reporting of outcomes. Open operative treatment was associated with a lower risk of rerupture compared with nonoperative treatment (relative risk, 0.27; 95% confidence interval, 0.11 to 0.64). However, it was associated with a higher risk of other complications, including infection, adhesions, and disturbed skin sensibility (relative risk, 10.60; 95% confidence interval, 4.82 to 23.28). Percutaneous repair was associated with a lower complication rate compared with open operative repair (relative risk, 2.84; 95% confidence interval, 1.06 to 7.62). Patients who had been managed with a functional brace postoperatively (allowing for early mobilization) had a lower complication rate compared with those who had been managed with a cast (relative risk, 1.88; 95% confidence interval, 1.27 to 2.76). Because of the small number of patients involved, no definitive conclusions could be made regarding different nonoperative treatment regimens. CONCLUSIONS: Open operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared with nonoperative treatment, but operative treatment is associated with a significantly higher risk of other complications. Operative risks may be reduced by performing surgery percutaneously. Postoperative splinting with use of a functional brace reduces the overall complication rate. LEVEL OF EVIDENCE: Therapeutic Level I. There is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative (open or percutaneous) or nonoperative (casting or functional bracing). Postoperative splinting can be performed with a rigid cast (proximal or distal to the knee) or a more mobile functional brace. The aim of this meta-analysis was to identify and summarize the evidence from randomized, controlled trials on the effectiveness of different interventions for the treatment of acute Achilles tendon ruptures. We searched multiple databases (including EMBASE, CINAHL, and MEDLINE) as well as reference lists of articles and contacted authors. Keywords included Achilles tendon, rupture, and tendon injuries. Three reviewers extracted data and independently assessed trial quality with use of a ten-item scale. Twelve trials involving 800 patients were included. There was a variable level of methodological rigor and reporting of outcomes. Open operative treatment was associated with a lower risk of rerupture compared with nonoperative treatment (relative risk, 0.27; 95% confidence interval, 0.11 to 0.64). However, it was associated with a higher risk of other complications, including infection, adhesions, and disturbed skin sensibility (relative risk, 10.60; 95% confidence interval, 4.82 to 23.28). Percutaneous repair was associated with a lower complication rate compared with open operative repair (relative risk, 2.84; 95% confidence interval, 1.06 to 7.62). Patients who had been managed with a functional brace postoperatively (allowing for early mobilization) had a lower complication rate compared with those who had been managed with a cast (relative risk, 1.88; 95% confidence interval, 1.27 to 2.76). Because of the small number of patients involved, no definitive conclusions could be made regarding different nonoperative treatment regimens. Open operative treatment of acute Achilles tendon ruptures significantly reduces the risk of rerupture compared with nonoperative treatment, but operative treatment is associated with a significantly higher risk of other complications. Operative risks may be reduced by performing surgery percutaneously. Postoperative splinting with use of a functional brace reduces the overall complication rate. Therapeutic Level I. |
Author | Parker, Martyn Keogh, Angus Crawford, John Fick, Dan Brammar, Tim Khan, Riaz J.K |
AuthorAffiliation | 1 Department of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk, NR4 7UY, United Kingdom. E-mail address: riazkhan@aol.com 2 Department of Surgery and Pathology, University of Western Australia, Perth, WA 6009, Australia 3 Addenbrookeʼs Hospital, Cambridge, CB2 2QQ, United Kingdom 4 Peterborough District Hospital, Peterborough, PE3 6DA, United Kingdom |
AuthorAffiliation_xml | – name: 1 Department of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk, NR4 7UY, United Kingdom. E-mail address: riazkhan@aol.com 2 Department of Surgery and Pathology, University of Western Australia, Perth, WA 6009, Australia 3 Addenbrookeʼs Hospital, Cambridge, CB2 2QQ, United Kingdom 4 Peterborough District Hospital, Peterborough, PE3 6DA, United Kingdom |
Author_xml | – sequence: 1 givenname: Riaz surname: Khan middlename: J.K fullname: Khan, Riaz J.K organization: 1 Department of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk, NR4 7UY, United Kingdom. E-mail address: riazkhan@aol.com 2 Department of Surgery and Pathology, University of Western Australia, Perth, WA 6009, Australia 3 Addenbrookeʼs Hospital, Cambridge, CB2 2QQ, United Kingdom 4 Peterborough District Hospital, Peterborough, PE3 6DA, United Kingdom – sequence: 2 givenname: Dan surname: Fick fullname: Fick, Dan – sequence: 3 givenname: Angus surname: Keogh fullname: Keogh, Angus – sequence: 4 givenname: John surname: Crawford fullname: Crawford, John – sequence: 5 givenname: Tim surname: Brammar fullname: Brammar, Tim – sequence: 6 givenname: Martyn surname: Parker fullname: Parker, Martyn |
BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18179344$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/16203884$$D View this record in MEDLINE/PubMed |
BookMark | eNpd0U1r3DAQBmBRUppN2lvPxRTSU7zVhyXZvW02_UhIKaTbYxGyPGadytJWkgnpr6-cXQjkMoPgmUF6dYKOnHeA0FuCl5Rg8fH64vrn8nKJGa6aF2hBOOMlYbU4QguMKSkbxvkxOonxDmNcVVi-QsdEUMzqulqg35sAOo3gUuH7YmWmBLluB2shFhtwnXfF7bRLU4D4qVgV3yHpcuW0fYhDnEdudTbj8A-682LtXQo-j3bFJgzaxtfoZZ8bvDn0U_Try-fN-lt58-Pr1Xp1UxrWkLo0QlJqODNYC2ak5FVNG0lJ27W0lS3re0GIkFyytuuBkarlnOGaCdN3nRSYnaIP-7274P9OEJMah2jAWu3AT1GJWnBKHuH7Z_DOTyE_JyqKOeGkaWhG53tkgo8xQK92YRh1eFAEqzlzNWeuLtVj5pm_O-yc2hG6J3wIOYOzA9DRaNsH7cwQn1xNZMOq2VV7d-9tghD_2OkegtqCtmmr8Px9grKS4nzT-VTOpWb_AbWjmHI |
CODEN | JBJSA3 |
CitedBy_id | crossref_primary_10_1007_s00402_020_03461_z crossref_primary_10_1053_j_jfas_2016_04_014 crossref_primary_10_1016_j_fas_2007_02_002 crossref_primary_10_1016_j_csm_2015_06_001 crossref_primary_10_1016_j_berh_2008_02_005 crossref_primary_10_1016_j_fas_2009_02_006 crossref_primary_10_1016_S0276_1092_08_70404_8 crossref_primary_10_1053_j_jfas_2013_12_007 crossref_primary_10_1080_00913847_2021_1969216 crossref_primary_10_2519_jospt_2010_3204 crossref_primary_10_1016_j_cpm_2015_06_010 crossref_primary_10_1016_j_injury_2006_12_010 crossref_primary_10_1016_j_injury_2013_10_004 crossref_primary_10_1016_j_fas_2009_10_014 crossref_primary_10_1016_j_injury_2006_06_005 crossref_primary_10_1007_s00167_013_2407_1 crossref_primary_10_1007_s00402_021_04213_3 crossref_primary_10_2519_jospt_2011_3333 crossref_primary_10_1016_j_injury_2007_11_422 crossref_primary_10_1111_j_1445_2197_2007_04035_x crossref_primary_10_1016_j_rcl_2006_01_004 crossref_primary_10_1007_s00167_012_2222_0 crossref_primary_10_1007_s00167_012_2007_5 crossref_primary_10_1186_1471_2288_11_39 crossref_primary_10_1007_s00167_010_1193_2 crossref_primary_10_1080_09638280701786815 crossref_primary_10_1302_0301_620X_104B8_BJJ_2021_1730_R2 crossref_primary_10_1007_s00113_014_2627_y crossref_primary_10_1016_j_recot_2016_06_004 crossref_primary_10_1053_j_jfas_2007_08_015 crossref_primary_10_1007_s12506_012_0028_9 crossref_primary_10_1111_j_1751_1097_2012_01179_x crossref_primary_10_1007_s00167_012_2146_8 crossref_primary_10_1016_j_fas_2013_06_012 crossref_primary_10_3928_01477447_20130724_23 crossref_primary_10_1007_s00113_017_0420_4 crossref_primary_10_1016_j_fcl_2009_08_004 crossref_primary_10_1053_j_jfas_2013_03_027 crossref_primary_10_1007_s00113_011_2022_x crossref_primary_10_1186_1758_2555_3_28 crossref_primary_10_1016_j_foot_2012_09_001 crossref_primary_10_1007_s00113_010_1833_5 crossref_primary_10_1053_j_jfas_2015_04_024 crossref_primary_10_1016_j_physio_2011_04_349 crossref_primary_10_1016_j_surge_2014_03_010 crossref_primary_10_1097_01720610_200908000_00010 crossref_primary_10_1016_S1134_2072_06_71440_2 crossref_primary_10_1053_j_jfas_2016_01_033 crossref_primary_10_1186_s13018_015_0310_9 crossref_primary_10_1111_aor_13298 crossref_primary_10_1016_j_fas_2014_05_005 crossref_primary_10_1007_s00590_013_1350_7 crossref_primary_10_1002_jor_25159 crossref_primary_10_1002_lsm_22066 crossref_primary_10_7547_1000270 crossref_primary_10_1016_j_otsr_2013_03_024 crossref_primary_10_1177_15563316231160458 crossref_primary_10_1111_sms_12209 crossref_primary_10_1016_j_ajem_2015_04_037 crossref_primary_10_1016_j_fcl_2007_07_002 crossref_primary_10_1016_j_orthtr_2015_09_009 crossref_primary_10_1016_j_fas_2008_09_001 crossref_primary_10_1016_j_injury_2008_10_033 crossref_primary_10_1136_bcr_2013_202657 crossref_primary_10_1016_j_surge_2011_12_002 crossref_primary_10_1016_j_ocl_2009_05_006 crossref_primary_10_1016_j_otsr_2014_09_018 crossref_primary_10_1016_j_fcl_2009_04_003 crossref_primary_10_1016_j_jvn_2007_02_004 crossref_primary_10_1111_j_1600_0838_2010_01154_x crossref_primary_10_1155_2014_840369 crossref_primary_10_1016_j_rcot_2013_03_052 crossref_primary_10_1016_j_rcot_2014_09_406 crossref_primary_10_1055_a_2294_1043 crossref_primary_10_14193_jkfas_2022_26_2_88 crossref_primary_10_3390_jcm10112370 crossref_primary_10_1136_bjsports_2015_094935 crossref_primary_10_1136_bjsports_2013_092756 crossref_primary_10_7863_ultra_16_01092 crossref_primary_10_1016_j_jts_2008_03_001 crossref_primary_10_1053_j_jfas_2011_05_004 crossref_primary_10_1111_ans_12910 crossref_primary_10_1016_j_recote_2016_08_001 crossref_primary_10_1007_s00590_011_0867_x crossref_primary_10_1053_j_jfas_2014_09_040 crossref_primary_10_1007_s00264_023_05827_5 crossref_primary_10_1016_j_recot_2012_07_006 crossref_primary_10_1016_j_fas_2014_01_006 crossref_primary_10_1007_s12178_008_9025_4 crossref_primary_10_1007_s12306_011_0158_z crossref_primary_10_3928_01477447_20100826_21 crossref_primary_10_1007_s10943_022_01629_y crossref_primary_10_1053_j_jfas_2008_05_006 crossref_primary_10_1016_j_fas_2010_08_005 crossref_primary_10_1007_s00264_014_2615_4 crossref_primary_10_1007_s00264_011_1431_3 crossref_primary_10_1002_term_1459 crossref_primary_10_1016_j_ptsp_2009_01_003 crossref_primary_10_1007_s12306_013_0251_6 crossref_primary_10_1053_j_jfas_2014_07_009 crossref_primary_10_4236_ss_2014_52011 crossref_primary_10_1053_j_jfas_2012_09_010 crossref_primary_10_1186_s13018_014_0132_1 crossref_primary_10_1007_s00167_013_2726_2 crossref_primary_10_14193_jkfas_2021_25_2_72 crossref_primary_10_26603_001c_117549 crossref_primary_10_1016_j_fas_2012_11_003 crossref_primary_10_1111_sms_12253 crossref_primary_10_1111_j_1525_1594_2012_01559_x crossref_primary_10_1053_j_jfas_2009_04_005 crossref_primary_10_1007_s00113_010_1809_5 crossref_primary_10_1007_s10039_010_1676_x crossref_primary_10_1007_s12178_013_9185_8 crossref_primary_10_15417_issn_1852_7434_2021_86_3_1153 crossref_primary_10_3928_01477447_20160106_01 crossref_primary_10_1007_s00167_013_2423_1 crossref_primary_10_1016_j_fcl_2014_10_003 crossref_primary_10_15388_LietChirur_2020_19_29 crossref_primary_10_1053_j_jfas_2007_03_014 crossref_primary_10_1016_j_recote_2012_10_004 crossref_primary_10_1002_bem_22314 crossref_primary_10_1016_j_fcl_2009_07_006 crossref_primary_10_1016_j_arthro_2008_02_018 crossref_primary_10_1016_j_foot_2013_11_003 crossref_primary_10_1007_s00264_011_1357_9 crossref_primary_10_1016_j_fcl_2009_07_002 crossref_primary_10_1016_j_fuspru_2009_08_007 crossref_primary_10_1016_j_fcl_2009_07_004 crossref_primary_10_1016_j_fcl_2013_02_009 crossref_primary_10_11622_smedj_2015150 |
ContentType | Journal Article |
Copyright | Copyright 2005 by The Journal of Bone and Joint Surgery, Incorporated 2006 INIST-CNRS Copyright Journal of Bone and Joint Surgery, Inc. Oct 2005 |
Copyright_xml | – notice: Copyright 2005 by The Journal of Bone and Joint Surgery, Incorporated – notice: 2006 INIST-CNRS – notice: Copyright Journal of Bone and Joint Surgery, Inc. Oct 2005 |
DBID | IQODW CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7QL 7QO 7QP 7RV 7U9 7X7 7XB 88E 88I 8AF 8FD 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR C1K CCPQU DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB0 M0S M1P M2P M7N NAPCQ P64 PQEST PQQKQ PQUKI PRINS Q9U 7X8 |
DOI | 10.2106/JBJS.D.03049 |
DatabaseName | Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts Calcium & Calcified Tissue Abstracts ProQuest Nursing & Allied Health Database Virology and AIDS Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Science Database (Alumni Edition) STEM Database Technology Research Database Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Central Korea Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) ProQuest Science Database Algology Mycology and Protozoology Abstracts (Microbiology C) Nursing & Allied Health Premium Biotechnology and BioEngineering Abstracts ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef ProQuest Central Student Technology Research Database ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest AP Science ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest Central China Environmental Sciences and Pollution Management ProQuest Central Health Research Premium Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) AIDS and Cancer Research Abstracts ProQuest Medical Library (Alumni) Virology and AIDS Abstracts ProQuest Science Journals (Alumni Edition) ProQuest Central Basic ProQuest Science Journals ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Calcium & Calcified Tissue Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic ProQuest Central Student MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1535-1386 |
Edition | American volume |
EndPage | 2210 |
ExternalDocumentID | 915783161 10_2106_JBJS_D_03049 16203884 18179344 00004623-200510000-00008 |
Genre | Meta-Analysis Comparative Study Research Support, Non-U.S. Gov't Journal Article |
GroupedDBID | .XZ 07C 08R 0R 123 1AW 1KJ 29K 2WC 34G 39C 3O- 3V. 4.4 53G 55 5RE 5RS 6NX 7RV 7X7 88E 88I 8AF 8F7 8FI 8FJ 8R4 8R5 AAAXR AAEJM AAFTM AAGJQ AAMOA AAWTL AAXQO ABFLS ABPMR ABPTK ABUWG ABXVJ ACEWG ACGFS ACGOD ACIWK ACPRK ACRZS ADBIT ADNKB AFCHL AFFNX AFKRA AFRAH AFUWQ AHMBA AHULI AIJEX AJIOK AJJEV AJNYG ALMA_UNASSIGNED_HOLDINGS AMJPA AMKUR ASCII AZQEC BBAFP BENPR BKEYQ BOWHD BPHCQ BQLVK BVXVI C45 CS3 D-I DUNZO DWQXO E3Z EBS EJD EX3 F5P FEDTE FYUFA GJ GNUQQ H1 H13 HCIFZ HVGLF H~9 IKYAY JG8 K-O L7B M1P M2P M5 M5~ O9- OBH OCB OGEVE OHASI OHH OLW OPUJH OUVQU OVD OVDNE OVIDH OVLEI OXXIT PCD PQEST PQQKQ PQUKI PRINS PROAC PSQYO PZZ Q2X SJN TJB VH1 W1K WH7 WOQ WOW X7M XZ YCJ YQJ YRY ZA5 ZGI ZXP ZY1 ZZ ~H1 .55 .GJ 08G 08P 0R~ 1CY 36B AAGIX AAHPQ AAQKA AAUGY ABASU ABDIG ACCJW ACILI ACNWC ADGGA AEETU AFDTB AFMFG AHOMT AHVBC AI. AJNWD AKALU AKULP ALMTX AMNEI AOHHW CCPQU DIWNM EEVPB FCALG GNXGY GQDEL IKREB IQODW NAPCQ OJAPA RLZ TEORI TSPGW UKHRP VVN YOC ZZMQN ~ZZ AAAAV AAIQE AASCR ABJNI ABVCZ ACXJB ADHPY AHQNM AINUH AJZMW CGR CUY CVF ECM EIF ERAAH HLJTE HMCUK NPM AAYXX CITATION 7QL 7QO 7QP 7U9 7XB 8FD 8FK C1K FR3 H94 K9. M7N P64 Q9U 7X8 |
ID | FETCH-LOGICAL-c3918-c6722c53c0a63c7754829721bdb2b7b3ff61167573bdfe314b5530836cfdd7603 |
IEDL.DBID | 7X7 |
ISSN | 0021-9355 |
IngestDate | Sat Aug 17 00:51:41 EDT 2024 Thu Oct 10 22:24:59 EDT 2024 Fri Aug 23 01:36:58 EDT 2024 Sat Sep 28 07:50:26 EDT 2024 Sun Oct 22 16:08:38 EDT 2023 Tue Feb 09 10:59:25 EST 2021 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 10 |
Keywords | Orthopedic surgery Treatment Tendo calcaneus Acute Tissue rupture |
Language | English |
License | CC BY 4.0 |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c3918-c6722c53c0a63c7754829721bdb2b7b3ff61167573bdfe314b5530836cfdd7603 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
PMID | 16203884 |
PQID | 205151992 |
PQPubID | 289 |
PageCount | 9 |
ParticipantIDs | proquest_miscellaneous_68652160 proquest_journals_205151992 crossref_primary_10_2106_JBJS_D_03049 pubmed_primary_16203884 pascalfrancis_primary_18179344 wolterskluwer_health_00004623-200510000-00008 |
ProviderPackageCode | ACEWG AMKUR C45 ABPMR IKYAY OVIDH ASCII AAMOA OHH OBH OUVQU ADNKB JG8 OLW BOWHD AIJEX AAXQO OHASI AJNYG OGEVE ~H1 OVLEI AAAXR AJIOK OPUJH AAFTM OCB .XZ DUNZO OVDNE 5RS AFCHL AMJPA M5~ ABXVJ OXXIT OVD AHULI |
PublicationCentury | 2000 |
PublicationDate | 2005-October |
PublicationDateYYYYMMDD | 2005-10-01 |
PublicationDate_xml | – month: 10 year: 2005 text: 2005-October |
PublicationDecade | 2000 |
PublicationPlace | Boston, MA |
PublicationPlace_xml | – name: Boston, MA – name: United States – name: Needham |
PublicationTitle | Journal of bone and joint surgery. American volume |
PublicationTitleAlternate | J Bone Joint Surg Am |
PublicationYear | 2005 |
Publisher | Copyright by The Journal of Bone and Joint Surgery, Incorporated Journal of Bone and Joint Surgery Incorporated Journal of Bone and Joint Surgery AMERICAN VOLUME |
Publisher_xml | – name: Copyright by The Journal of Bone and Joint Surgery, Incorporated – name: Journal of Bone and Joint Surgery Incorporated – name: Journal of Bone and Joint Surgery AMERICAN VOLUME |
References | 16651595 - J Bone Joint Surg Am. 2006 May;88(5):1160; author reply 1160 |
References_xml | |
SSID | ssj0004407 |
Score | 2.4283862 |
SecondaryResourceType | review_article |
Snippet | BackgroundThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as... There is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as operative... BACKGROUND: There is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as... BACKGROUNDThere is a lack of consensus regarding the best option for the treatment of acute Achilles tendon rupture. Treatment can be broadly classified as... |
SourceID | proquest crossref pubmed pascalfrancis wolterskluwer |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 2202 |
SubjectTerms | Achilles Tendon - injuries Acute Disease Biological and medical sciences Diseases of the osteoarticular system Humans Injuries of the limb. Injuries of the spine Manipulation, Orthopedic Medical sciences Orthopedic Fixation Devices Orthopedic Procedures Orthopedic surgery Randomized Controlled Trials as Topic Rupture Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendon Injuries - therapy Traumas. Diseases due to physical agents Treatment Outcome |
Title | Treatment of Acute Achilles Tendon Ruptures: A Meta-Analysis of Randomized, Controlled Trials |
URI | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00004623-200510000-00008 https://www.ncbi.nlm.nih.gov/pubmed/16203884 https://www.proquest.com/docview/205151992 https://search.proquest.com/docview/68652160 |
Volume | 87 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fb5swELa29mXSNHXaL9Yu88P2NneAwcBeJhqIkqghFRApmzQh25iXSkk2Wu3f3x2QZpGmvfCCbaE7--477vwdIR88rcCv25I50uPMM4HNpK0lC8F1Oqp2penoixeZmK68-dpfD7U57VBWubeJnaGutxr_kUOQDp4XayW_7n4ybBqFydWhg8ZjcurAe9zgwTo4XIv07KFjq8OQRryve4cYR3yeX82Ly-QS84LRkUd6upMtCKfpu1r8C3bCmN9bzGS3t10h-1_uaHJGng04ksa94p-TR2bzgvwo8zQukZ6fLic0Hq_KFJ5TCNjTgpZpliwzmq9usNKh-EJjukjLmMVZfP2tmBU4JY9hzGL2PU0-0fEyK_MlTE1omc_i6-IlWU3ScjxlQ_8EpnnkhEyLwHW1z7UtBddIdYf3aF1QgXJVoHjTCMzC-AFXdWO44ynsIRRyoZu6DoTNX5GTzXZj3hAaydpRUsmg4cZTtQkBdvBQ6kaZKDLct8jHvQyrXU-TUUF4gbKuUNZVUnWytsjoSMCHwSFaCs-zyPle4tVwmtrqQfcWef_wFo4B5jbkxmzv20qEAoCIsC3yulfTYWXhIuMNrMyO9Fb1F02rLkoCEIj2wu-yHawD0m__-yXn5MmexNV2LsjJ3a978w7gyZ0adZtwRE6v0uwm_wO-9toR |
link.rule.ids | 314,780,784,12056,21388,27924,27925,31719,31720,33744,33745,43310,43805,73745,74302 |
linkProvider | ProQuest |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9MwELagewAJIRCvsLDrA9zwksSOk3BB2SZVW9p0laTSgoQs23EuSG0hu-Lv40nSLZUQl1xiW9E39jwy428Qese0snbdlcSTjBJmQpdIV0sSWdPpqdqXpqMvXuZ8umbz6-B6qM1ph7LKvU7sFHW91fCP3Abp1vJCreTn3U8CTaMguTp00LiPToA4PRihk8ssvyoOFyOZO_Rs9QgQifeV7zbK4R_nl_PyIr2AzGB8ZJMe7WRr4Wn6vhb_cjztmN9byGW3P7pS9r8M0uQJejx4kjjpRf8U3TObZ-h7VWRJBQT9eDXByXhdZfY5tSF7VuIqy9NVjov1FdQ6lJ9wgpdZlZAkTxZfy1kJU4rEjlnOvmXpBzxe5VWxslNTXBWzZFE-R-tJVo2nZOigQDSNvYhoHvq-Dqh2JacayO7gJq1vhaB8FSraNBzyMEFIVd0Y6jEFXYQiynVT1yF36Qs02mw35hXCsaw9JZUMG2qYqk1kHQ8aSd0oE8eGBg56v8dQ7HqiDGEDDMBaANYiFR3WDjo7AvgwOAJdwZiDTveIi-E8teJO-g46v3trDwJkN-TGbG9bwSNuXRHuOuhlL6bDytwHzhu7MjmSm-ivmoouTrJuIGiMoMt3kM6Vfv3fLzlHD6bVciEWs_zLKXq4p3R1vTdodPPr1ry1zsqNOhu25B8cpdzN |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fb9MwELagkxASQiB-hcHmB3jDWxInTsILyppUbWnTKkmlMQlZduK8ILWFbuLf5y5JVyohXvIS24rO57vvcufvCPngVRr8uq2YozzOPBPYTNmVYiG4TkfXrjItffE8E-OVN732r3tKoV1fVrm3ia2hrjcV_iOHIB08L9ZKXjZ9VcQyGX3Z_mTYQAoTrX03jYfkBJyi7Q7IyVWaLfPDJUnP7vu3OgxJxbsqeIh4xOX0alpcJBeYJYyO_NOTrdqBqJqux8W_QCiM-b3BvPbuR1vW_pdzGj0jT3tUSeNODZ6TB2b9gnwv8zQukayfLkY0Hq7KFJ5jCN_TgpZpliwymq-WWPdQfKYxnadlzOIsnn0rJgVOyWMYM5_cpMknOlxkZb6AqQkt80k8K16S1Sgth2PWd1NgFY-ckFUicN3K55WtBK-Q-A5v1bqwIdrVgeZNIzAn4wdc143hjqexo1DIRdXUdSBs_ooM1pu1eUNopGpHK62ChhtP1yYEEMJDVTXaRJHhvkU-7mUotx1phoRgA2UtUdYyka2sLXJ2JODD4BDthudZ5HQvcdmfrZ281wSLnN-_hUOBmQ61Npu7nRShAFgibIu87rbpsLJwkf8GVmZH-ya7a6eyjZkAEqL18NvcB2th9dv_fsk5eQTaKGeT7Ospebxnd7Wdd2Rw--vOvAfccqvPeo38A-bB4Po |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Treatment+of+Acute+Achilles+Tendon+Ruptures+A+Meta-Analysis+of+Randomized%2C+Controlled+Trials&rft.jtitle=Journal+of+bone+and+joint+surgery.+American+volume&rft.au=Khan%2C+Riaz+J.K.&rft.date=2005-10-01&rft.issn=0021-9355&rft.volume=87&rft.issue=10&rft.spage=2202&rft_id=info:doi/10.2106%2FJBJS.D.03049&rft.externalDBID=n%2Fa&rft.externalDocID=10_2106_JBJS_D_03049 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0021-9355&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0021-9355&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0021-9355&client=summon |