{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:48:01Z","timestamp":1777614481111,"version":"3.51.4"},"update-to":[{"DOI":"10.1177\/2473011417699834","type":"new_edition","label":"New edition","source":"publisher","updated":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000}}],"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Conflicting evidence exists regarding the optimal management of acute Achilles tendon ruptures. Operative repair is thought to afford patients a lower risk of rerupture, albeit at a higher overall risk of wound complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review of 369 consecutive patients undergoing open repair of acute Achilles tendon ruptures performed by a single foot and ankle fellowship-trained orthopedic surgeon was undertaken. Healing was classified as no complications, complications without prolonging treatment, complications requiring prolonged local treatment, and complications requiring operative intervention. A statistical analysis comparing the rates of complications in this cohort to that reported in the literature was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were a total of 33 (8.94%) wound complications. Compared to the rates reported in the literature, no significant difference was detected ( P = .3943; CI 6.24-12.33). However, when the complications not requiring additional treatment or prolonged care were excluded, only 9 wound complications (2.44%) were identified\u2014a significantly lower complication rate than that reported in the literature ( P &lt; .0001; CI 1.12-4.58). There were only 2 (0.54%) major complications requiring operative intervention, also a significantly lower rate than in the literature ( P &lt; .0001; CI 0.067-1.94).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the past, wound-healing complications have been cited as a concern when treating patients operatively. We found that when solely looking at healing complications prolonging the patients\u2019 overall recovery, a significantly lower rate of complications existed compared to that reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114231188102","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T02:41:18Z","timestamp":1690252878000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Republication of \u201cOpen Repair of Acute Achilles Tendon Ruptures: Is the Incidence of Clinically Significant Wound Complications Overestimated?\u201d"],"prefix":"10.1177","volume":"8","author":[{"given":"Meghan E.","family":"Bishop","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carly D.","family":"Comer","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin M.","family":"Kane","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA"},{"name":"Baylor University Medical Center, Dallas, TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell G.","family":"Maltenfort","sequence":"additional","affiliation":[{"name":"Rothman Institute of Orthopaedics at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven M.","family":"Raikin","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Rothman Institute of Orthopaedics at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"bibr1-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200207000-00024"},{"key":"bibr2-24730114231188102","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01477"},{"key":"bibr3-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000144475.05543.e7"},{"key":"bibr4-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100606"},{"key":"bibr5-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200110000-00014"},{"key":"bibr6-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.07.009"},{"key":"bibr7-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1431-3"},{"key":"bibr8-24730114231188102","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01829"},{"key":"bibr9-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1177\/1938640014546864"},{"key":"bibr10-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B8.25998"},{"key":"bibr11-24730114231188102","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003674.pub2"},{"key":"bibr12-24730114231188102","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0671"},{"key":"bibr13-24730114231188102","doi-asserted-by":"publisher","DOI":"10.3109\/17453679608994688"},{"issue":"1","key":"bibr14-24730114231188102","first-page":"63","volume":"18","author":"Lesic 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