Endoscopic Flexor Halluces Longus transfer for Chronic Achilles Tendon rupture - technique description and early post-operative results

• DOI: 10.32098/mltj.02.2017.18
• Publication Date: 2019-02-21T16:19:16Z
• Authors: D. Baumfeld; T. Baumfeld; A. Rocha Figueiredo; L.F. de Araujo Ju...; B. Macedo; T.A. Alves Silva; F. Raduan; C. Nery
• Keywords: Tendon transfer; Achilles tendon rupture

Background: Achilles tendon ruptures may lead to proximal retraction of the stump if not treated acutely, increasing chances poorer functional outcomes.The flexor halluces longus transfer is a well-established treatment option, usually performed as an open procedure.The aim this paper report preliminary results and describe technique endoscopic transfer.Material methods: Six patients with chronic injuries or re-ruptures were FHL transfer.The Tendon Rupture Score was used clinically evaluate patients.Single leg heel rise ability, hallux weakness, complications procedure length also checked.Results: On average, we took 56 minutes perform surgery.All had major increase in ATRS score value postoperatively.Single possible for all without limitation.None noticed weakness during daily life activity no wound soft tissue seen.Conclusion: Endoscopic FLH reliable option high skin risk complications.Other studies are needed compare procedure, gold standard by now, ensure its safety efficacy.Level evidence: 4.