Surgery is no better than nonoperative treatment for Achilles tendon rupture in adults
Question
Is open repair or minimally invasive surgery better than nonoperative management for adults with acute Achilles tendon rupture?
Conclusion
There is no clear benefit to surgery over nonoperative management for adults with acute Achilles tendon rupture. Symptomatic improvement is the same, and surgery trades more nerve injuries for a lower risk of re-rupture.
Reference
Myhrvold SB, Brouwer EF, Andresen TKM, et al. Nonoperative or surgical treatment of acute Achilles’ tendon rupture. N Engl Med J 2022;386(15):1409-1420.