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1: Foot Ankle. 1993 Oct;14(8):443-9.Links

Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer.

Wapner KL, Pavlock GS, Hecht PJ, Naselli F, Walther R.

Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107.

A new technique is described for reconstruction of chronic Achilles tendon rupture using the flexor hallucis longus tendon. Follow-up on seven patients (mean age 52 years) is provided (average follow-up 17 months, range 3-30 months). All patients were re-examined to assess postoperative range of motion, scar healing, and sensation. Motor strength was assessed by Cybex testing. Subjective satisfaction was examined by completion of a questionnaire. There were no postoperative infections, skin losses, or re-ruptures. Each patient developed a small but functionally insignificant loss in range of motion in the involved ankle and great toe. All patients had a satisfactory return of function. One patient required a molded foot-ankle orthosis for extended ambulation but was able to play golf.

PMID: 8253436 [PubMed - indexed for MEDLINE]