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Two-hundred and fifty-one Patients with an Achilles tendon rupture (mean age\u2009=\u200941\u2009\u00b1\u20098), treated with uniform surgical techniques, were retrospectively analyzed. DVT incidence at 2 and 6\u00a0weeks was assessed using compression duplex ultrasound. At 12\u00a0months patient-reported outcomes were assessed using the Achilles tendon Total Rupture Score (ATRS), Foot- and Ankle Outcome Score (FAOS), Physical Activity Scale (PAS) and functional outcome with the calf-muscle endurance test. ANOVA analyses were used and adjusted for assumed confounding factors (patient age, sex, BMI and rehabilitation).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The total DVT incidence was 122 out of 251 (49%). Patients suffering a DVT exhibited significantly lower ATRS at 1 year compared to patients without DVT (mean 76 vs 83, 95% CI 71\u201379 vs 80\u201387; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Sixty-seven percent (95% CI 57\u201377%) of the patients devoid of DVT reported a good outcome (ATRS\u2009&gt;\u200980) compared to 51% (95% CI 41\u201361%) of the patients sustaining a DVT (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Quality of life displayed significantly better outcome in the non-DVT versus DVT patients (mean\u2009=\u200975 (95% CI 71\u201379) vs. mean\u2009=\u200968 (95% CI 64\u201372); <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). A significant difference in total concentric work was observed between non-DVT and DVT patients (median\u2009=\u20091.9\u00a0kJ (IQR\u2009=\u20090.9\u00a0kJ) vs. median\u2009=\u20091.6\u00a0kJ (IQR\u2009=\u20091.0\u00a0kJ); <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Sustaining a DVT during leg immobilization significantly impairs patient-reported outcome at 1 year after surgical repair of ATR.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Level of evidence<\/jats:title>\n<jats:p>III.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00167-020-05945-2","type":"journal-article","created":{"date-parts":[[2020,4,20]],"date-time":"2020-04-20T08:04:01Z","timestamp":1587369841000},"page":"3309-3317","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Deep venous thrombosis after Achilles tendon rupture is associated with poor patient-reported outcome"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8872-7209","authenticated-orcid":false,"given":"Simon","family":"Svedman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Edman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5520-169X","authenticated-orcid":false,"given":"Paul W.","family":"Ackermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,20]]},"reference":[{"key":"5945_CR1","unstructured":"National Institute for Health and Clinical Excellence (NICE) (2010) Venous thromboembolism: reducing the risk for patients in hospital, vol CG [92]. 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