Details

Autor(en) / Beteiligte

• Ganestam, Ann
• Kallemose, Thomas
• Troelsen, Anders
• Barfod, Kristoffer Weisskirchner

Titel

Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33,160 patients

Ist Teil von

• Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-12, Vol.24 (12), p.3730-3737

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Purpose The purpose of this study is to investigate the incidence of acute Achilles tendon rupture in Denmark from 1994 to 2013 with focus on sex, age, geographical areas, seasonal variation and choice of treatment. Methods The National Patient Registry was retrospectively searched to find the number of acute Achilles tendon rupture in Denmark during the time period of 1994–2013. Regional population data were retrieved from the services of Statistics Denmark. Results During the 20-year period, 33,160 ruptures occurred revealing a statistically significant increase in the incidence ( p  < 0.001, range = 26.95–31.17/100,000/year). Male-to-female ratio was 3:1 and average age 45 years for men and 44 years for women. There was a statistically significant increasing incidence for people over 50 years. A higher incidence in rural compared with urban geographical areas was found, but this was not statistically significant. There was a statistically significant decreasing incidence of patients treated with surgery from 16.9/10 5 in 1994 to 6.3/10 5 in 2013. Conclusions The incidence of acute Achilles tendon rupture increased from 1994 to 2013 based on increasing incidence in the older population. There was no difference in incidence of acute Achilles tendon rupture in the rural compared with urban geographical areas. A steady decline in surgical treatment was found over the whole period, with a noticeable decline from 2009 to 2013, possibly reflecting a rapid change in clinical practice following a range of high-quality randomized clinical trials (RCT). Level of evidence IV.