May 4, 2026 · British journal of sports medicine · DOI: 10.1136/bjsports-2025-110210

Randomised three-armed trial investigation of the Copenhagen Achilles tendon Rupture Treatment Algorithm (CARTA) for individualised treatment of acute Achilles tendon rupture

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The study aimed to determine whether the Copenhagen Achilles Rupture Treatment Algorithm (CARTA) provides superior outcomes compared to standard operative or non-operative treatments for acute Achilles tendon ruptures. While CARTA did not show significant improvement in the primary functional outcome (Heel-Rise Work Test) at 12 months, it significantly reduced rerupture rates and improved patient-reported outcomes compared to non-operative treatment, while also resulting in fewer surgeries than routine operative care.

Marianne Toft, Maria Swennergren Hansen, Jannie Dybsoe Vestergaard, Julie Jenlar, Anna Kathrine Pramming, Stefan Møller, Bjørn Slott Korvenius Nedergaard, Morten Tange Kristensen, Louise Lau Simonsen, Bjarke Viberg, Per Hölmich, Kristoffer W Barfod

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