Acute Achilles tendon rupture Treatment strategies and outcomes

Based on the results of the studies presented in this thesis it is concluded that minimally invasive surgical treatment of acute AT ruptures with functional after-treatment allows patients to return to their original level of their professional and athletic activities and should be regarded best treatment until otherwise proven. Conservative treatment by functional bracing might still be a potentially valuable alternative, but our studies failed to prove so, mainly because of a higher complication risk. More clinical trials with large statistical power and of rigorous methodology are needed to identify best management of acute Achilles tendon ruptures. Re-rupture and severe wound infection should be included as important outcome measure. Routine use of thromboprophylaxis is not warranted in patients with temporary below-knee immobilization.