title: [Achilles tendon rupture : Current diagnostic and therapeutic standards].
abstract: A superior life expectancy and an increased activity in the population result in an increase in degenerative diseases, such as Achilles tendon ruptures. The medical history and physical examinations are the methods of choice to diagnose Achilles tendon ruptures. Ultrasound and radiography represent reasonable extended diagnostic procedures. In order to decide on the medical indications for the therapy concept, the advantages and disadvantages of conservative and surgical treatment options have to be weighed up on an indivdual basis. There are explicit contraindications for both treatment options. For the surgical treatment concept open suture techniques, minimally invasive methods and reconstructive procedures are available. The postoperative management of the patient is as important as the choice of surgical technique. With the correct medical indications and supervision of the patient it is possible to achieve extremely satisfying results for the patient with both conservative and surgical treatment options.
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V. Allee 3, 93077, Bad Abbach, Deutschland. gernot.hertel@ukr.de.
authors.forename: G
authors.initials: G
authors.lastname: Hertel
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V. Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Götz
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V. Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Grifka
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V. Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Willers
mesh_terms: D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D007103:Immobilization / Q000592:standards*; D009985:Orthopedics / Q000592:standards; D017410:Practice Guidelines as Topic; D019651:Plastic Surgery Procedures / Q000534:rehabilitation / Q000592:standards; D013708:Tendon Injuries / Q000000981:diagnostic imaging* / Q000628:therapy*; D058971:Tenotomy / Q000534:rehabilitation / Q000592:standards*; D014057:Tomography, X-Ray Computed / Q000379:methods / Q000592:standards*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods / Q000592:standards*
keywords: Conservative therapy; Postoperative management; Reconstruction; Surgery; Trauma