29 A randomised three-armed trial investigating copenhagen Achilles tendon rupture treatment algorithm (CARTA) for individualized treatment of acute Achilles tendon rupture

BMJ Open Sport & Exercise Medicine 2026 Open access

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Authors: Marianne Toft, Maria Swennergren Hansen, Jannie D Vestergaard, Julie Jenlar, Anna Kathrine Pramming, Stefan Møller, Bjørn SK Nedergaard, Louise Lau Simonsen, Bjarke Viberg, Per Hölmich, Kristoffer Weisskirchner Barfod
DOI: 10.1136/bmjsem-2026-sportskongres.29
Cited by: 0

Abstract

Objective This trial evaluated whether individualized treatment using the Copenhagen Achilles Rupture Treatment Algorithm (CARTA) is superior to default operative or non-operative strategies.Methods We conducted a multicentre, three-arm, parallel-group, randomised controlled trial. Adults with acute Achilles tendon rupture were randomised (1:1:1) to individualized CARTA, non-operative, or operative treatment. In the CARTA arm, surgery was indicated if ultrasound showed

Fields of Study & Subjects

Tendon Structure and Treatment Foot and Ankle Surgery Knee injuries and reconstruction techniques

Publication details

Journal / source
BMJ Open Sport & Exercise Medicine
Pages
A10.3–A11
Publication date
1 January 2026
Language
EN