Re-rupture is not the only failure: tendon elongation and the 6-week nonoperative protocol for Achilles tendon rupture
Filippo Spiezia, Francesco Oliva, Nicola Maffulli · 2026
Read Re-rupture is not the only failure: tendon elongation and the 6-week nonoperative protocol for Achilles tendon rupture by Filippo Spiezia, Francesco Oliva, Nicola Maffulli (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13678454.txt.
Description
Filippo Spiezia, Francesco Oliva, and Nicola Maffulli write a 2026 letter that questions a trial of shorter care for a torn Achilles tendon. The trial compared six weeks of non-surgical care with eight weeks in near five hundred patients. It tracked only new tears and failed care that led to surgery. The letter says that is too narrow a test of success.
A healing tendon keeps stretching for months, and calf strength can stay weak for a year or more. With no checks of tendon length, strength, or patient scores, the trial could not show the short plan works as well. Small event counts and a time gap between groups add more doubt.
Catalog record
| CREATOR | Filippo Spiezia, Francesco Oliva, Nicola Maffulli |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 3 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |