Bilateral Acute Achilles Tendon Rupture Can Be Effectively Treated Non-operatively

TL;DR

An elderly patient with a rare bilateral Achilles tendon rupture was successfully treated without surgery, showing non-operative methods can work well with proper care.

Contribution

This case demonstrates that non-operative treatment can achieve favorable outcomes in bilateral Achilles tendon rupture when combined with personalized rehabilitation.

Findings

A 76-year-old patient with bilateral Achilles tendon rupture was successfully treated non-operatively.

MRI at three months confirmed healing of both Achilles tendons following conservative treatment.

Weight-bearing activities were possible at six weeks using Achilles boots as part of the rehabilitation protocol.

Abstract

Acute rupture of the Achilles tendon (AT) is a common but debilitating injury that requires immediate diagnosis and effective management. Spontaneous bilateral AT rupture is rare; however, it can lead to severe disability for a significant period. This case report presents a 76-year-old patient who suffered a bilateral AT rupture while engaging in a non-strenuous activity. Upon confirmation of the diagnosis by physical examination and radiologic evaluation, conservative treatment was decided due to the presence of numerous comorbidities. A personalized rehabilitation protocol was implemented, allowing weight-bearing activities using Achilles boots at six weeks. Healing of both ATs was confirmed by an MRI at three months. Our case shows that non-operative treatment of these injuries can result in exceptionally favorable outcomes and should not be disregarded. However, thorough patient compliance and surveillance are prerequisites.

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