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DEGENERATIVE TENDO-ACHILLES RUPTURE MANAGED WITH GASTROCSOLEUS RECESSION AND FHL TENDON REPAIR
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Background: Chronic degenerative Achilles tendon ruptures are difficult to manage due to tendon retraction and poor tissue quality. Flexor
Hallucis Longus (FHL) tendon transfer with gastroc-soleus recession offers a reliable reconstructive solution. Fifteen patients with Methods:
chronic full-thickness Achilles tendon ruptures (>4–6 weeks) were treated using FHL tendon transfer and proximal gastroc-soleus recession.
Functional outcomes were assessed using the AOFAS ankle-hindfoot score. The mean AOFAS score improv Results: ed from 58 pre-operatively
to 96 post-operatively. All patients achieved tip-toe stance with minimal functional loss of the hallux. Minor complications included one wound
dehiscence and two superficial infections. FHL transfer with gastroc-soleus recession is a safe and e Conclusion: ffective technique for
reconstructing chronic degenerative Achilles ruptures, offering excellent functional outcomes and early mobilization.
Title: DEGENERATIVE TENDO-ACHILLES RUPTURE MANAGED WITH GASTROCSOLEUS RECESSION AND FHL TENDON REPAIR
Description:
Background: Chronic degenerative Achilles tendon ruptures are difficult to manage due to tendon retraction and poor tissue quality.
Flexor
Hallucis Longus (FHL) tendon transfer with gastroc-soleus recession offers a reliable reconstructive solution.
Fifteen patients with Methods:
chronic full-thickness Achilles tendon ruptures (>4–6 weeks) were treated using FHL tendon transfer and proximal gastroc-soleus recession.
Functional outcomes were assessed using the AOFAS ankle-hindfoot score.
The mean AOFAS score improv Results: ed from 58 pre-operatively
to 96 post-operatively.
All patients achieved tip-toe stance with minimal functional loss of the hallux.
Minor complications included one wound
dehiscence and two superficial infections.
FHL transfer with gastroc-soleus recession is a safe and e Conclusion: ffective technique for
reconstructing chronic degenerative Achilles ruptures, offering excellent functional outcomes and early mobilization.
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