Rothman Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA, 19107, USA.
Curr Rev Musculoskelet Med. 2013 Dec;6(4):285-93. doi: 10.1007/s12178-013-9185-8.
The incidence of acute Achilles tendon ruptures is on the rise. This is thought to be due to the increasing number of middle-aged persons participating in athletic and/or strenuous activity. Ruptures of the Achilles tendon can be severely debilitating, with deficits seen years after the initial incident. Also, these injuries can have substantial socioeconomic impacts regardless of the treatment selected. Debate continues over the optimal treatment of Achilles tendon ruptures, especially the argument whether to treat patients nonoperatively or surgically. Newer evidence shows that functional rehabilitation, including early weight-bearing, should be an integral part of successful treatment of acute Achilles ruptures. Further research is needed to further investigate the ideal treatment and rehabilitation protocols.
急性跟腱断裂的发病率正在上升。这被认为是由于越来越多的中年人参与运动和/或剧烈活动。跟腱断裂可能会严重致残，即使在最初受伤多年后也会出现缺陷。此外，无论选择何种治疗方法，这些损伤都会对社会经济产生重大影响。对于跟腱断裂的最佳治疗方法，尤其是是选择非手术治疗还是手术治疗，一直存在争议。新的证据表明，功能康复，包括早期负重，应该是成功治疗急性跟腱断裂的一个组成部分。需要进一步的研究来进一步探讨理想的治疗和康复方案。
