Private Practice, Foot and Ankle Surgery, Foot & Ankle Specialists, 18010 R Plaza, Omaha, NE 68135, USA.
Clin Podiatr Med Surg. 2021 Apr;38(2):201-226. doi: 10.1016/j.cpm.2020.12.006.
There is an ever-evolving debate about the best treatment option for Achilles tendon ruptures. There was a relative consensus that operative treatment yielded the best outcomes. Much of this is based on results in athletic populations. Conservative treatment was considered only for the elderly and those with very inactive lifestyles. There has been an evolution, however, with more surgeons utilizing an aggressive functional rehabilitation with conservative management. Surgical intervention still is the treatment of choice for elite-level athletes. The treatment of choice for patient populations other than elite athletes remains an individual choice between patient and physician.
对于跟腱断裂的最佳治疗选择，一直存在着不断发展的争论。相对来说，手术治疗的效果最好，这在很大程度上是基于运动人群的结果。保守治疗仅被认为适用于老年人和生活方式非常不活跃的人。然而，随着越来越多的外科医生采用积极的功能康复与保守管理，这种情况已经发生了变化。手术干预仍然是精英运动员的首选治疗方法。对于非精英运动员的患者群体，治疗选择仍然是患者和医生之间的个人选择。
