The Foot Surgery Atlas - home pageachilles reconstruction using flexor hallucis longus tendon transfer
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achilles reconstruct with flexor hallucis transfer - operative indications
achilles reconstruct with flexor hallucis transfer - operative considerations

Achilles reconstruct with Flexor Hallucis transfer-A chronic Achilles rupture.

Achilles reconstruct with Flexor Hallucis transfer-The posterior Tibial nerve

Achilles reconstruct with Flexor Hallucis transfer-Tendon with "whip stitch"

Achilles reconstruct with Flexor Hallucis transfer-Biotenodesis screw "roped" onto tendon
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Achilles reconstruct with Flexor Hallucis transfer - operative indications

In assessing Chronic Achilles pathologies, differentiation should be made between the body of the tendon and insertional problems. Also between Achilles Tendonosis and Achilles tendonitis.

SURGICAL INDICATIONS:

Chronic Achilles rupture not amenable to direct repair

Severe Achilles tendonosis refactory to simple dedridement

Malunited (lengthened) and weakened Achilles tendon following conservative management