Special FocusAchilles Tendon Rupture Treatment: Operative Versus NonoperativeJildeh, Toufic R. MD; Eller, Erik B. MDAuthor Information Henry Ford Health System, Detroit, MI The authors declare no conflict of interest. Address correspondence and reprint requests to Toufic R. Jildeh, MD, Department of Orthopaedic Surgery, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: June 2021 - Volume 20 - Issue 2 - p 82-85 doi: 10.1097/BTF.0000000000000306 Buy Metrics Abstract Acute Achilles tendon ruptures are common injuries with increasing incidence. Management of acute ruptures is controversial. Early evidence suggested that nonoperative treatment led to a significantly higher rerupture rate; however, operative modalities have also been shown to have a higher risk of wound complications. Advances in therapeutic protocols have normalized the rerupture rate between operative and nonoperative modalities, and many have recommended nonoperative treatment becuase of the mitigated complication profile. The purpose of this review is to report contemporary management of Achilles tendon ruptures and provide our preferred technique of management. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.