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Letters to the Editor   |    
Treatment of Acute Achilles Tendon Ruptures. A Meta-Analysis of Randomized, Controlled Trials
Michael H. Dobson, BSc, MBBS, MRCS, MSc Orth Eng; Chinh Nguyen, MBBS, FRCS(Orth)
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The authors did not receive grants or outside funding in support of their research for or preparation of this work. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 May 01;88(5):1160-1160
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Extract

To The Editor:We read with interest the article by Khan et al. entitled "Treatment of Acute Achilles Tendon Ruptures. A Meta-Analysis of Randomized, Controlled Trials" (2005;87:2202-210), and we have some concerns regarding the papers that they included in the meta-analysis. The authors state that their intention was to provide a meta-analysis of randomized, controlled trials, and they clearly state their selection criteria and methodology scoring system.However, we found that four papers1-4 had a score of 0 for the method of randomization and were thus recognized to be poorly randomized, if randomized at all. On our review of these papers, we noted that Kerkhoffs et al.1 clearly stated that their study was only quasi-randomized and that the study by Maffulli et al.2 was not randomized for patient selection, with treatment selection being only quasi-randomized on the basis of the day of attendance.
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