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Achilles tendon rupture using FHL tendon transfer endoscopically

International Physical Medicine & Rehabilitation Journal
Chao Zhou,1 Honghai Yang,1 Hua Zhou,1 Feina Liu,1 Yan Zheng,2 Yanhong Bi,Xin Wang,2 Zhanzhen Li2


Objective:Chronic Achilles tendon rupture can lead to decreased ankle joint plantar flexion and gait impairment. Open 1 or 2 incision flexor hallux longus transposition has been shown to have good functional results, but the disadvantage is that the operation is relatively extensive in the vulnerable site. To reduce the risk of soft tissue problems, flexor longus tendon transfers can be performed endoscopically.

Methods:An endoscopic transposition of flexor hallux longus was introduced.

Results:There were no wound healing problems or infection. Five of the six patients had a single-leg heel elevation on the affected side 12 months after surgery.

Conclusion: The functional results are good. Soft tissue dissection was minimal and no patients had postoperative wound healing problems or infection. Endoscopic flexor hallux longus transfer may be a surgical approach and may also be considered in patients with underlying wound healing problems. Level of Evidence: Level 4: Technical Instructions/Uncontrolled Case Series.


foot surgery techniques, diagnostic and therapeutic techniques, Achilles tendinitis, surgical complications, unstable ankle joint, transplantation. traditionally, injections prior to rupture, achilles tendon rupture, elderly patients, posterior medial gate, tendonofascial inversion