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Endoscopic Flexor Hallucis Longus Transfer for Achilles Noninsertional Tendinopathy: Description of Surgical Technique and Functional Outcomes
- Source :
- Foot & Ankle Specialist. 14:46-54
- Publication Year :
- 2020
- Publisher :
- SAGE Publications, 2020.
-
Abstract
- Background. The transfer of the flexor hallucis longus (FHL) tendon is an established treatment for replacing a dysfunctional Achilles tendon. Objectives. (1) Describe a new technique for endoscopic FHL transfer for noninsertional Achilles tendinopathy and (2) describe the functional outcomes and complications after endoscopic and open FHL transfer. Materials and Method. Retrospective study of patients who underwent open or endoscopic FHL transfer between 2014 and 2016. The American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot scale was used preoperatively and postoperatively to measure the functional results. Results. We included 18 endoscopic FHL transfers and 24 open FHL transfers. The mean age of endoscopic and open procedures was 47.5 years (range 25-77 years) and 61.2 years (range 43-72 years), respectively. An improvement on the average AOFAS of 52.8% (31.9 points) was observed in the endoscopy group during the follow-up from the baseline. The mean improvement in AOFAS score for the open group was 41.4% (24.5 points). Four and 7 cases reported complications in the endoscopy and open FHL transfer groups, respectively. Conclusion. While both procedures were effective in treating noninsertional Achilles tendinopathy, the described arthroscopic treatment led to a greater improvement in the AOFAS score and is slightly less prone to lasting complications. Level of Evidence: Level IV: Case series
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Tendon Transfer
Achilles Tendon
03 medical and health sciences
0302 clinical medicine
Tendon transfer
medicine
Humans
Orthopedics and Sports Medicine
Longitudinal Studies
Podiatry
Aged
Retrospective Studies
030222 orthopedics
Achilles tendon
medicine.diagnostic_test
business.industry
Endoscopy
Retrospective cohort study
Recovery of Function
030229 sport sciences
Middle Aged
medicine.disease
Tendon
Surgery
Treatment Outcome
medicine.anatomical_structure
Flexor hallucis longus
Tendinopathy
Female
Ankle
business
Subjects
Details
- ISSN :
- 19387636 and 19386400
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Foot & Ankle Specialist
- Accession number :
- edsair.doi.dedup.....de8392f4b7ce77efb37260ea27c9846f