title: Operative versus nonoperative treatment of acute Achilles tendon rupture: An analysis of 12,570 patients in a large healthcare database.
abstract: BACKGROUND
  The purpose of this study was to compare the latest patient demographics and rerupture rates of operative versus nonoperative treatment of acute Achilles tendon rupture in the United States.
  
  
  METHODS
  Patients undergoing treatment of an acute Achilles tendon rupture from 2007 to 2011 were identified by cross-referencing ICD-9-CM and CPT codes through the PearlDiver Patient Record Database.
  
  
  RESULTS
  In total, 12,570 patients were treated for an acute Achilles tendon rupture. The ratio of operative to nonoperative treatment increased from 1.41 to 1.65. Males were more likely to undergo surgery than females. There were no significant differences in short-term rerupture rate for operative (2.1%) versus nonoperative (2.4%) treatment.
  
  
  CONCLUSIONS
  The proportion of patients who received operative treatment for an acute Achilles tendon rupture increased slightly during the 5 year period, suggesting that surgeons in the United States have been slower to adopt nonoperative treatment than their European counterparts.
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA.
authors.forename: Dean
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA.
authors.forename: M Isiah
authors.initials: MI
authors.lastname: Sandlin
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA.
authors.forename: Jeremiah R
authors.initials: JR
authors.lastname: Cohen
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA.
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Lord
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA.
authors.forename: Frank A
authors.initials: FA
authors.lastname: Petrigliano
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA 90095, USA. Electronic address: nsoohoo@mednet.ucla.edu.
authors.forename: Nelson F
authors.initials: NF
authors.lastname: SooHoo
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000208:Acute Disease; D000328:Adult; D016208:Databases, Factual; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000706:statistics & numerical data; D012008:Recurrence; D012421:Rupture; D013708:Tendon Injuries / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology; D016474:Weight-Bearing; D055815:Young Adult
keywords: Achilles tendon; Demographics; Nonoperative; Operative; Rerupture; Rupture