A systematic review of orthotic devices for conservative management of achilles tendon rupture in adults.
Foot (Edinb)Jun 17, 2026 (epub)
Clinical ResearchOrthopedic Surgery
Rohid Zamani, Regan Cooper, Ibrahim Inzarul Haq et al.
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In 30 seconds
This systematic review evaluated the effectiveness of various orthotic devices in the conservative management of Achilles tendon rupture in 2011 adults. The study found that while orthotic selection influenced complication rates, it did not significantly affect long-term functional outcomes, with complication rates varying from 4.4% to 31.2%.
Key findings
- Complication rates varied significantly, with VACOped® at 5.75% and Mixed at 31.2%.
- Re-rupture rates ranged from 3.05% for VACOped® to 12.5% for Other devices.
- ATRS scores showed no significant differences between boot types at < 6 and > 12 months.
Why it matters
Understanding the impact of different orthotic devices on complication rates can guide clinicians in selecting appropriate non-operative treatments for Achilles tendon ruptures, potentially improving patient outcomes during rehabilitation.