{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:16:08Z","timestamp":1792563368416,"version":"4.5.0"},"reference-count":40,"publisher":"Massachusetts Medical Society","issue":"15","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.nejmgroup.org\/legal\/terms-of-use.htm"}],"funder":[{"DOI":"10.13039\/501100006095","name":"South-Eastern Norway Regional Health Authority","doi-asserted-by":"crossref","award":["2739005"],"award-info":[{"award-number":["2739005"]}],"id":[{"id":"10.13039\/501100006095","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100012446","name":"Akershus Universitetssykehus","doi-asserted-by":"publisher","award":["260958"],"award-info":[{"award-number":["260958"]}],"id":[{"id":"10.13039\/501100012446","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012446","name":"Akershus Universitetssykehus","doi-asserted-by":"publisher","award":["2639039"],"award-info":[{"award-number":["2639039"]}],"id":[{"id":"10.13039\/501100012446","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["N Engl J Med"],"published-print":{"date-parts":[[2022,4,14]]},"DOI":"10.1056\/nejmoa2108447","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T17:01:26Z","timestamp":1649869286000},"page":"1409-1420","source":"Crossref","is-referenced-by-count":201,"title":["Nonoperative or Surgical Treatment of Acute Achilles\u2019 Tendon Rupture"],"prefix":"10.1056","volume":"386","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0743-2829","authenticated-orcid":false,"given":"St\u00e5le B.","family":"Myhrvold","sequence":"first","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Espen F.","family":"Brouwer","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tor K. M.","family":"Andresen","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Rydevik","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Amundsen","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9033-3946","authenticated-orcid":false,"given":"Wolfram","family":"Gr\u00fcn","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Butt","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"Valberg","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svend","family":"Ulstein","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigurd E.","family":"Hoelsbrekken","sequence":"additional","affiliation":[{"name":"From the Institute of Clinical Medicine, University of Oslo (S.B.M) and the Department of Orthopedic Surgery, Akershus University Hospital (S.B.M., E.F.B., T.K.M.A., S.U.), L\u00f8renskog, Volvat Medical Center and the Norwegian Sports Medicine Clinic (K.R., S.E.H.), the Division of Orthopedic Surgery (M.A.) and the Oslo Center for Biostatistics and Epidemiology (M.V.), Oslo University Hospital, Oslo, the Department of Orthopedic Surgery, \u00d8stfold Hospital Trust, Kalnes (W.G.), and the Department of Orthopedic Surgery, Vestre Viken Hospital Trust, Drammen (F.B.) \u2014 all in Norway."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"150","reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514540599"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0434.R1"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3544-5"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.050"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2005.01.013"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510376052"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513503282"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k5120"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507307503"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00917"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100709"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32942-3"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.05.002"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03461-z"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.02.002"},{"key":"e_1_3_5_17_2","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1007\/s001320050509","article-title":"Achilles tendon rupture: a prospective study assessing various treatment possibilities","volume":"29","author":"Majewski M","year":"2000","unstructured":"Majewski M, Rickert M, Steinbr\u00fcck K. Achilles tendon rupture: a prospective study assessing various treatment possibilities. Orthopade 2000;29:670-676.10986713","journal-title":"Orthopade"},{"key":"e_1_3_5_18_2","first-page":"1228","article-title":"Treatment of acute Achilles tendon ruptures: open vs. percutaneous repair vs. conservative treatment: a prospective randomized study.","volume":"21","author":"Schroeder D","year":"1997","unstructured":"Schroeder D, Lehmann M, Steinbrueck K. Treatment of acute Achilles tendon ruptures: open vs. percutaneous repair vs. conservative treatment: a prospective randomized study. Orthop Trans 1997;21:1228-1228.","journal-title":"Orthop Trans"},{"key":"e_1_3_5_19_2","unstructured":"American Society of Anesthesiologists. ASA physical status classification system. October 15 2014 (https:\/\/www.asahq.org\/standards-and-guidelines\/asa-physical-status-classification-system)."},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm061227"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13281"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61160-9"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-4-26"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-005-0938-8"},{"key":"e_1_3_5_25_2","first-page":"410","article-title":"The \u201cGiftbox\u201d repair of the Achilles tendon: a modification of the Krackow technique.","volume":"30","author":"Labib SA","year":"2009","unstructured":"Labib SA, Rolf R, Dacus R, Hutton WC. The \u201cGiftbox\u201d repair of the Achilles tendon: a modification of the Krackow technique. Foot Ankle Int 2009;30:410-414.19439140","journal-title":"Foot Ankle Int"},{"key":"e_1_3_5_26_2","first-page":"CD012653","article-title":"Intraoperative interventions for preventing surgical site infection: an overview of Cochrane Reviews.","volume":"2","author":"Liu Z","year":"2018","unstructured":"Liu Z, Dumville JC, Norman G, et al. Intraoperative interventions for preventing surgical site infection: an overview of Cochrane Reviews. Cochrane Database Syst Rev 2018;2:CD012653-CD012653.29406579","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03320-3"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506294856"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00081-X"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4689-1"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00098-5"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0150-6"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2146-8"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510392012"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1511-3"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520912222"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01401"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B7.BJJ-2019-0783.R3"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01273"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2017.10.008"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07451-2"}],"container-title":["New England Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.nejm.org\/doi\/pdf\/10.1056\/NEJMoa2108447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T19:18:04Z","timestamp":1749669484000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2108447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,14]]},"references-count":40,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2022,4,14]]}},"alternative-id":["10.1056\/NEJMoa2108447"],"URL":"https:\/\/doi.org\/10.1056\/nejmoa2108447","relation":{},"ISSN":["0028-4793","1533-4406"],"issn-type":[{"value":"0028-4793","type":"print"},{"value":"1533-4406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,14]]}}}