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Management of chronic Achilles ruptures: a scoping review

PURPOSE: This scoping review aims to systematically map and summarise the available evidence on the management of chronic Achilles ruptures, whilst identifying prognostic factors and areas of future research. METHODS: A scoping review was performed according to the frameworks of Arksey and O’Malley,...

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Autores principales: Arshad, Zaki, Lau, Edward Jun Shing, Leow, Shu Hui, Bhatia, Maneesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514369/
https://www.ncbi.nlm.nih.gov/pubmed/34089355
http://dx.doi.org/10.1007/s00264-021-05102-5
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author Arshad, Zaki
Lau, Edward Jun Shing
Leow, Shu Hui
Bhatia, Maneesh
author_facet Arshad, Zaki
Lau, Edward Jun Shing
Leow, Shu Hui
Bhatia, Maneesh
author_sort Arshad, Zaki
collection PubMed
description PURPOSE: This scoping review aims to systematically map and summarise the available evidence on the management of chronic Achilles ruptures, whilst identifying prognostic factors and areas of future research. METHODS: A scoping review was performed according to the frameworks of Arksey and O’Malley, Levac and Peters. A computer-based search was performed in PubMed, Embase, EmCare, CINAHL, ISI Web of Science and Scopus, for articles reporting treatment of chronic Achilles ruptures. Two reviewers independently performed title/abstract and full text screening according to pre-defined selection criteria. RESULTS: A total of 747 unique articles were identified, of which 73 (9.8%) met all inclusion criteria. A variety of methods are described, with flexor hallucis longus tendon transfer being the most common. The most commonly reported outcome is the American Orthopaedic Foot and Ankle Society (AOFAS) score, although 16 other measures were reported in the literatures. All studies comparing pre- and post-operative outcomes reported significant post-treatment improvement. Complications were reported in 50 studies, with an overall pooled complication rate of 168/1065 (15.8%). CONCLUSION: Although beneficial results were reported following a variety of techniques, comparison between these is challenging due to the low-level study designs used and confounding factors such as treatment delay and tendon gap size. Further research comparing the efficacy of different techniques is required in order to facilitate the development of an evidence-based treatment protocol. Such work would allow clinicians to better understand the suitability of the large variety of reported techniques and select the optimal strategy for each individual patient. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00264-021-05102-5.
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spelling pubmed-85143692021-10-27 Management of chronic Achilles ruptures: a scoping review Arshad, Zaki Lau, Edward Jun Shing Leow, Shu Hui Bhatia, Maneesh Int Orthop Review Article PURPOSE: This scoping review aims to systematically map and summarise the available evidence on the management of chronic Achilles ruptures, whilst identifying prognostic factors and areas of future research. METHODS: A scoping review was performed according to the frameworks of Arksey and O’Malley, Levac and Peters. A computer-based search was performed in PubMed, Embase, EmCare, CINAHL, ISI Web of Science and Scopus, for articles reporting treatment of chronic Achilles ruptures. Two reviewers independently performed title/abstract and full text screening according to pre-defined selection criteria. RESULTS: A total of 747 unique articles were identified, of which 73 (9.8%) met all inclusion criteria. A variety of methods are described, with flexor hallucis longus tendon transfer being the most common. The most commonly reported outcome is the American Orthopaedic Foot and Ankle Society (AOFAS) score, although 16 other measures were reported in the literatures. All studies comparing pre- and post-operative outcomes reported significant post-treatment improvement. Complications were reported in 50 studies, with an overall pooled complication rate of 168/1065 (15.8%). CONCLUSION: Although beneficial results were reported following a variety of techniques, comparison between these is challenging due to the low-level study designs used and confounding factors such as treatment delay and tendon gap size. Further research comparing the efficacy of different techniques is required in order to facilitate the development of an evidence-based treatment protocol. Such work would allow clinicians to better understand the suitability of the large variety of reported techniques and select the optimal strategy for each individual patient. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00264-021-05102-5. Springer Berlin Heidelberg 2021-06-05 2021-10 /pmc/articles/PMC8514369/ /pubmed/34089355 http://dx.doi.org/10.1007/s00264-021-05102-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Arshad, Zaki
Lau, Edward Jun Shing
Leow, Shu Hui
Bhatia, Maneesh
Management of chronic Achilles ruptures: a scoping review
title Management of chronic Achilles ruptures: a scoping review
title_full Management of chronic Achilles ruptures: a scoping review
title_fullStr Management of chronic Achilles ruptures: a scoping review
title_full_unstemmed Management of chronic Achilles ruptures: a scoping review
title_short Management of chronic Achilles ruptures: a scoping review
title_sort management of chronic achilles ruptures: a scoping review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514369/
https://www.ncbi.nlm.nih.gov/pubmed/34089355
http://dx.doi.org/10.1007/s00264-021-05102-5
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