The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2026
Epidemiology and complications of 18,061 achilles tendon rupture repairs in the United States, 2015-2024 (TriNetX).
СтатьяНазвание и аннотация: Перевод в очереди
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Rodio Lauren A, Burkhart Robert J, Sanghvi Parshva, Moyal Andrew J, Adelstein Jeremy M, Napora Joshua K
Аннотация
BACKGROUND: There is a lack of recent, nationally representative reporting of Achilles tendon rupture (ATR) repair epidemiology.
PURPOSE: To evaluate the incidence and prevalence of ATR repairs in the US in the last decade and assess medical and orthopedic complications post-ATR repair.
STUDY DESIGN: Retrospective cohort study.
METHODS: The TriNetX database was used to identify US patients who experienced an ATR repair from 2015-2024. The primary outcome was incidence proportion (IP), stratified by sex and age. Rates of medical complications (30, 60, 90 days) and orthopedic complications (1, 2 years) were assessed.
RESULTS: 18,061 patients had an ATR repair from 2015-2024. In 2024, the IP of ATR repairs was 7.28 (95 % CI 6.99-7.59) per 100,00 patients, significantly increased from 2015. The annual percent change in IP was 12.8 % % per year. Males comprised 65 % of the cohort and consistently had higher IP than females. The mean age was 31 ± 7 years and the highest IP in 2024 was in those aged 30-39. Stratified by age and sex, males aged 25-29 experienced the most ATR repairs overall (60.94 (95 % CI 58.14-63.87) per 100,000 patients), while the peak in female ATR repairs was in females aged 45-49 (23.08 (95 % CI 21.45-24.84) per 100,000 patients). There were relatively low rates of all medical and orthopedic complications assessed.
CONCLUSIONS: ATR repair incidence, which is especially high among young men, is increasing. Low medical and orthopedic complications rates support the safety and good functional outcomes of ATR repair.
PURPOSE: To evaluate the incidence and prevalence of ATR repairs in the US in the last decade and assess medical and orthopedic complications post-ATR repair.
STUDY DESIGN: Retrospective cohort study.
METHODS: The TriNetX database was used to identify US patients who experienced an ATR repair from 2015-2024. The primary outcome was incidence proportion (IP), stratified by sex and age. Rates of medical complications (30, 60, 90 days) and orthopedic complications (1, 2 years) were assessed.
RESULTS: 18,061 patients had an ATR repair from 2015-2024. In 2024, the IP of ATR repairs was 7.28 (95 % CI 6.99-7.59) per 100,00 patients, significantly increased from 2015. The annual percent change in IP was 12.8 % % per year. Males comprised 65 % of the cohort and consistently had higher IP than females. The mean age was 31 ± 7 years and the highest IP in 2024 was in those aged 30-39. Stratified by age and sex, males aged 25-29 experienced the most ATR repairs overall (60.94 (95 % CI 58.14-63.87) per 100,000 patients), while the peak in female ATR repairs was in females aged 45-49 (23.08 (95 % CI 21.45-24.84) per 100,000 patients). There were relatively low rates of all medical and orthopedic complications assessed.
CONCLUSIONS: ATR repair incidence, which is especially high among young men, is increasing. Low medical and orthopedic complications rates support the safety and good functional outcomes of ATR repair.