Evaluation of the Hallux Morbidity of Single-Incision Flexor Hallucis Longus Tendon Transfer

Abstract

Flexor hallucis longus tendon transfer using a single-incision technique results in decreased flexion power at the IP joint as demonstrated by decreased distal phalangeal pulp pressure; however, this appears to be a laboratory finding as patient function remains high.

Chronic Achilles tendon rupture reconstruction using a free semitendinosus tendon graft transfer

“…In addition, there are some studies reported functional imbalances in the foot following the use of local tendons [1,4,26,27]. In these cases, reconstruction using turn down flaps have been advocated [2,14].…”

Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture

“…In the two incision technique the distal FHL tendon is sutured with the FDL at the knot of Henry [4] potentially preserving the IP flexion force better than the single incision technique without this suturing [19]. The study of Coull et al [20] found that despite loss of active interphalangeal joint ROM, there was no impairment of walking, running, stair climbing or rising from a crouched position because of weakness of the great toe.…”

Management of chronic Achilles tendon ruptures—A review

“…[33] The tendon was passed through a drill hole in the calcaneus and woven through the Achilles tendon stumps. In this series and others, there was no functional loss secondary to harvesting the FHL [35,36], although push-off weakness has been reported subjectively by some athletic patients [37]. Yeoman et al reported on 11 patients and AOFAS score functional results continued to improve up to 6 months post-operatively.…”