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Description
The Achilles tendon consists of the soleus muscle and two heads of the gastrocnemius muscle. Loss of its function can result in loss of plantarflexion strength, which can impact activities of daily living. In a study by Scheller et al, Achilles tendon ruptures were missed on initial evaluation on 25% of their patients. Other studies have reported a similar incidence of misdiagnoses. Patients may also delay treatment due to decreased pain after the initial injury. Ruptures diagnosed 4 weeks from injury are often considered chronic, and many of these patients benefit from surgical repair. A flexor hallucis longus (FHL) transfer may be utilized to augment an Achilles tendon repair, especially in cases with significant gapping. The following case utilizes the FHL tendon transfer in addition to open end-to-end repair using the Percutaneous Achilles Repair System (PARS) following a chronic Achilles tendon rupture with subsequent re-rupture after surgical repair.
Publication Date
5-9-2024
Disciplines
Podiatry
Recommended Citation
Allison T, Kazdan J. Repair of achilles tendon re-rupture with fhl transfer: a case study. Presented at Corewell Health Hospital Farmington Hills 2024 Alvin Yarrows Research Day; 2024 May 9; Farmington Hills, MI.
Comments
2024 Alvin Yarrows Research Day at Corewell Health Hospital Farmington Hills, Farmington Hills, MI, May 9, 2024.