DIAGNOSIS AND TREATMENT OF ACUTE ACHILLES TENDON RUPTURE: A COMPREHENSIVE SYSTEMATIC REVIEW

Indra Hadi Rapmartua Ompusunggu, Yosie Yulanda Putra, Ahsan Auliya
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Abstract

Background: Achilles tendon rupture is a common orthopaedic injury that results in substantial functional limitations throughout a lengthy recovery time. The increasing incidence of Achilles tendon ruptures has been well documented in population-based studies. The delayed treatment of AT ruptures is usually attributable to either poor diagnosis upon injury or patients disregarding their injuries and not presenting to healthcare facilities.  The aim: The aim of this study to show about diagnosis and treatment of acute achilles tendon rupture. Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Google Scholar were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: In the PubMed database, the results of our search get 17 articles, whereas the results of our search on SagePub get 299 articles, on Google Scholar 6990 articles. Records remove before screening are 5317, so we get 1989 articles fos screening. After we screened based on record exclude, we compiled a total of 12 papers. We included five research that met the criteria. Conclusion: Multiple evaluative techniques including the addition of diagnostic ultrasound imaging and continuous shear wave elastography (cSWE) to standard clinical tests and measures were used to assess patient-reported symptoms, tendon structure, and tendon functional performance. As treatment recommendations and strategies evolve, decisional conflict may arise when patients with Achilles tendon ruptures are faced with the need to choose a management option. There have been several reviews of management strategies, primarily focused on pairwise comparisons between individual operative and non-operative strategies.
急性跟腱断裂的诊断和治疗:全面系统综述
背景:跟腱断裂是一种常见的骨科损伤,在漫长的康复过程中会导致功能严重受限。跟腱断裂发病率的增加已在人群研究中得到充分证实。跟腱断裂的延迟治疗通常可归因于受伤后诊断不清或患者忽视自己的损伤而未到医疗机构就诊。目的:本研究旨在了解急性跟腱断裂的诊断和治疗。研究方法根据《系统综述和荟萃分析首选报告项目》(PRISMA)2020,本研究符合所有要求。这种搜索方法考虑了 2014 年至 2024 年间发表的出版物。为此,我们使用了多个不同的在线参考资料来源,如 Pubmed、SagePub 和 Google Scholar。决定不考虑评论文章、已发表的作品或只完成一半的作品。结果在 PubMed 数据库中,我们的搜索结果为 17 篇文章,而在 SagePub 上的搜索结果为 299 篇文章,在 Google Scholar 上的搜索结果为 6990 篇文章。筛选前删除的记录为 5317 条,因此筛选后得到 1989 篇文章。根据排除记录进行筛选后,我们共整理出 12 篇论文。我们收录了五项符合标准的研究。结论采用了多种评估技术,包括在标准临床测试和测量基础上增加超声诊断成像和连续剪切波弹性成像(cSWE),以评估患者报告的症状、肌腱结构和肌腱功能表现。随着治疗建议和策略的不断发展,跟腱断裂患者在选择治疗方案时可能会出现决策冲突。目前已有多篇关于治疗策略的综述,主要集中在对单个手术策略和非手术策略进行配对比较。
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