Factors That Determine the Outcomes of Surgical Versus Conservative Management in Achilles Tendon Ruptures: A Retrospective Cohort Study

This study found no significant difference in long-term functional outcomes between conservative and surgical management of Achilles tendon ruptures. However, older males benefited more from surgery, while younger males showed a trend toward better outcomes with conservative treatment, but the decision to offer surgery should not be based on age alone. Better functional outcomes were found irrespective of the tendon gap in both groups. Further research with larger sample sizes is needed to validate these findings and guide patient-specific treatment decisions.