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-Flexor Hallucis Fascia.

Achilles reconstruct with Flexor Hallucis transfer-Flexor Hallucis Fascia.
Further scissors dissection is immediately deep/anterior to the Achilles which reveals the Flexor Hallucis muscle fascia(4).(1-Distal Tendo Achilles
2-Chronic tendon rupture which should be judiciously debrided
3-Full thickness skin flap). Care should be taken in the fat immediately anterior to the FHL(5) the location of the Posterior tibial neurovascular bundle.