Brigham Orthopedic Associates, Boston, MA, USA.
J Am Acad Orthop Surg. 2010 Aug;18(8):503-10. doi: 10.5435/00124635-201008000-00007.
This clinical practice guideline is based on a series of systematic reviews of published studies in the available literature on the diagnosis and treatment of acute Achilles tendon rupture. None of the 16 recommendations made by the work group was graded as strong; most are graded inconclusive; four are graded weak; two are graded as moderate strength; and two are consensus statements. The two moderate-strength recommendations include the suggestions for early postoperative protective weight bearing and for the use of protective devices that allow for postoperative mobilization.
本临床实践指南基于对现有文献中关于急性跟腱断裂的诊断和治疗的已发表研究的一系列系统评价。工作组提出的 16 条建议均未评为强推荐;大多数为无结论推荐;4 条为弱推荐;2 条为中度推荐;2 条为共识陈述。两条中度推荐建议包括术后早期保护性负重和使用允许术后活动的保护装置的建议。