{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:00:31Z","timestamp":1777615231990,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>Background. The purpose of this study is to evaluate the treatment considerations and surgical techniques utilized by fellowship-trained orthopaedic sports medicine and foot and ankle specialists in the management of Achilles tendon ruptures. Methods. A blinded electronic survey was distributed to 2062 fellowship-trained sports medicine and 1319 fellowship-trained foot and ankle orthopaedic surgeons. The total number of acute Achilles tendon ruptures managed per year, patient-specific factors associated with surgical decision making and surgical techniques were evaluated. Results. Of the 3381 surveys distributed, 524 responses were included for analysis. Only 9% of respondents manage more than 20 acute Achilles tendon ruptures per year with the majority (75%) managing less than 10 per year. Operative management is the treatment of choice for 76% of total respondents with only 8% managing acute ruptures nonoperatively. Activity level and patient age were the single most important factors for 60.8% and 29.3% of surgeons, respectively, with regard to operative versus nonoperative decision making. Socioeconomic status and workers compensation were the least important patient factors. Conclusion. Surgical repair in the young and active patient is the preferred treatment for the majority of fellowship-trained subspecialists who most commonly encounter this pathology.<\/jats:p>\n                  <jats:p>Levels of Evidence: Therapeutic, Level V: Consensus of Expert Analysis<\/jats:p>","DOI":"10.1177\/1938640019901055","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T07:16:04Z","timestamp":1579763764000},"page":"114-119","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["How Do Sports Medicine and Foot and Ankle Specialists Treat Acute Achilles Tendon Ruptures?"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7562-8375","authenticated-orcid":false,"given":"Robert L.","family":"Parisien","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P.","family":"Trofa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony P.","family":"Gualtieri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C.","family":"Dodson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinning","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William N.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Turner","family":"Vosseller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Boston University Medical School and Medical Center, Boston, Massachusetts (RLP, XL)"},{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York (DPT, WNL, JTV)"},{"name":"Columbia University, College of Physicians and Surgeons, New York, New York (APG)"},{"name":"Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania (CCD)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"bibr1-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.01273"},{"key":"bibr2-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3180-5"},{"key":"bibr3-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199707000-00010"},{"key":"bibr4-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715589632"},{"key":"bibr5-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518824601"},{"key":"bibr6-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199202000-00008"},{"key":"bibr7-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2003.11.005"},{"key":"bibr8-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513501785"},{"key":"bibr9-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01401"},{"key":"bibr10-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00917"},{"key":"bibr11-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.05.036"},{"key":"bibr12-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.03.010"},{"key":"bibr13-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1431-3"},{"key":"bibr14-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512453293"},{"key":"bibr15-1938640019901055","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0337"},{"key":"bibr16-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.11.001"},{"key":"bibr17-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2013.11.005"},{"key":"bibr18-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001951"},{"key":"bibr19-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000064"},{"key":"bibr20-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/230949900701500314"},{"key":"bibr21-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/230949901302100112"},{"key":"bibr22-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00020"},{"key":"bibr23-1938640019901055","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0701"},{"key":"bibr24-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01089"},{"key":"bibr25-1938640019901055","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00496"},{"key":"bibr26-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.10.005"},{"key":"bibr27-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/1938640011433829"},{"key":"bibr28-1938640019901055","doi-asserted-by":"publisher","DOI":"10.1177\/230949901402200114"},{"key":"bibr29-1938640019901055","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0394"},{"key":"bibr30-1938640019901055","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0385"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019901055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640019901055","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640019901055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:30:56Z","timestamp":1777411856000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640019901055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,23]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/1938640019901055"],"URL":"https:\/\/doi.org\/10.1177\/1938640019901055","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,23]]}}}