Abstract

Achilles tendon ruptures are a frequently seen orthopedic injury with an incidence of 18/100,000 individuals yearly. Achilles tendon ruptures (ATR) occur more frequently in males in the 4th-5th decade during athletic activities, but can also result from simple trauma. Previously, surgical management was recommended for ATR based on high rates of re-rupture with non-operative treatment. This paper explores recent level one and two randomized-control trials and systematic reviews, especially those including functional rehabilitation, to explore treatment options for acute Achilles tendon ruptures in the orthopedic setting. The data suggest a viable role for non-operative management with satisfactory functional results.