As the rupture most commonly occurs in “mid-aged” persons (in the most creative and productive part of life), the highest effort should be put in enabling patients to return to previous activities as soon as possible. There is universal agreement that functional treatment is the most effective way in this regardless of the used conservative or operative (open or percutaneous) method. There are more and more papers favoring functional conservative treatment, what (probably) yields to better results according to the lower re-rupture rate (but still higher in comparison to operative treatment) and better functional results. If percutaneous (or open) method is used as strong repair as possible (sensible).
