[Ortho] Система Tenolig

[Sereda Andrey]

Можно не трогать, даже если и диастаз есть. Даже в ортезе.
Только Т-с-с-с.
ИМХО Хирургия при разрыве АС нужна только high-demanded пациентам, 
которым через две-три недели нужно передвигаться активно, и в будущем 
они бегать планируют.

Am J Sports Med. 2014 Oct;42(10):2419-23. doi: 10.1177/0363546514540599. 
Epub 2014 Jul 23.
Acute achilles tendon ruptures: incidence of injury and surgery in 
Sweden between 2001 and 2012.
Huttunen TT1, Kannus P2, Rolf C3, Felländer-Tsai L3, Mattila VM4.
Author information
Abstract
BACKGROUND:
Population-based incidence rates and trends of acute Achilles tendon 
ruptures are not known. It is also not known whether recent high-quality 
randomized controlled trials not favoring surgery have had an effect on 
treatment protocols.
PURPOSE:
To assess the incidence of acute Achilles tendon ruptures in Sweden and 
to examine the trends in surgical treatment.
STUDY DESIGN:
Descriptive epidemiology study.
METHODS:
We conducted a nationwide registry-based study including all adult (≥18 
years of age) inpatient and outpatient hospital visits because of an 
acute Achilles tendon rupture in Sweden between 2001 and 2012.
RESULTS:
We identified a total of 27,702 patients (21,979 men, 79%) with acute 
Achilles tendon ruptures between 2001 and 2012. In 2001, the 
sex-specific incidence of acute Achilles tendon ruptures was 47.0 (per 
100,000 person-years) in men and 12.0 in women. In 2012, the 
corresponding values were 55.2 in men and 14.7 in women, with an 
increase of 17% in men and 22% in women. The proportion of surgically 
treated patients declined from 43% in 2001 to 28% in 2012 in men and 
from 34% in 2001 to 22% in 2012 in women.
CONCLUSION:
The incidence of acute Achilles tendon ruptures in Sweden is increasing. 
The most probable reason for this increase is the rise in the number of 
older adults participating in high-demand sports. The proportion of 
surgically treated patients is decreasing most likely because of recent 
high-quality randomized controlled trials and their meta-analyses 
supporting similar results between surgical and nonsurgical approaches.
Sereda Andrey