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Review Papers | Orthopaedic Surgery | Malaysia | Volume 13 Issue 9, September 2024 | Rating: 5 / 10
A Single Approach Flexor Hallucis Longus Tendon Transfer in Elderly Patients with Chronic Insertional Achilles Tendon Pathologies: A Retrospective Review using Validated Ankle Scores
Dinesh Earnest Kunasingh, Theenesh Theyvan Balakrishnan, Tunku Naziha Tunku Zainudin, Mohamad Izani Ibrahim
Abstract: Purpose: Augmentation and reconstruction of chronic Achilles tendon pathologies with the flexor hallucis longus tendon with a single interference screw is a safe, reproducible and reliable outcome for elderly patients. This study aims to show the reliability of this procedure in elderly Asian patients with validated ankle scores. Methods: This is a single centre case series performed by a single surgeon where patient reported satisfaction and outcome were compiled on 6 patients. Preoperative and post operative scores measured were visual acuity scores (VAS), Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot & Ankle Society (AOFAS) score. The range of motion following surgery was also collected to determine function and success at 2 years after surgery. Results: Mean age of patients was 55 years (Range 53-59 years). All ankle scores improved at 2 year follow up. Overall patient satisfaction was 100%. No complications or re-rupture was observed during the period of study. Conclusion: Chronic insertional Achilles tendinopathy treatment with FHL tendon transfer has reliable and good outcomes. A larger sample size and longer follow up will be useful.
Keywords: Haglund's Deformity, Flexor hallucis longus, tendon transfer, validated ankle scores
Edition: Volume 13 Issue 9, September 2024,
Pages: 352 - 358