Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique

Detalhes bibliográficos
Autor(a) principal: Gonçalves, S
Data de Publicação: 2015
Outros Autores: Caetano, R, Corte-Real, N
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.17/2445
Resumo: Flexor hallucis longus (FHL) transfer is a well-established treatment option in failed Achilles tendon (AT) repair and has been routinely performed as an open procedure. We detail the surgical steps needed to perform an arthroscopic transfer of the FHL for a chronic AT rupture. The FHL tendon is harvested as it enters in its tunnel beneath the sustentaculum tali; a tunnel is then drilled in the calcaneus as near to the AT footprint as possible. By use of a suture-passing device, the free end of the FHL is advanced to the plantar aspect of the foot. After adequate tension is applied to the construct, the tendon is fixed in place with an interference screw in an inside-out fashion. This minimally invasive approach is a safe and valid alternative to classic open procedures with the obvious advantages of preserving the soft-tissue envelope and using a biologically intact tendon.
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spelling Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic TechniqueHCC ORTArthroscopyAchilles TendonTendon TransferFlexor hallucis longus (FHL) transfer is a well-established treatment option in failed Achilles tendon (AT) repair and has been routinely performed as an open procedure. We detail the surgical steps needed to perform an arthroscopic transfer of the FHL for a chronic AT rupture. The FHL tendon is harvested as it enters in its tunnel beneath the sustentaculum tali; a tunnel is then drilled in the calcaneus as near to the AT footprint as possible. By use of a suture-passing device, the free end of the FHL is advanced to the plantar aspect of the foot. After adequate tension is applied to the construct, the tendon is fixed in place with an interference screw in an inside-out fashion. This minimally invasive approach is a safe and valid alternative to classic open procedures with the obvious advantages of preserving the soft-tissue envelope and using a biologically intact tendon.Pubmed CentralRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEGonçalves, SCaetano, RCorte-Real, N2016-03-24T16:18:50Z2015-102015-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2445engArthrosc Tech. 2015 Sep 7;4(5):e411-610.1016/j.eats.2015.03.017info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:37:05Zoai:repositorio.chlc.min-saude.pt:10400.17/2445Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:47.885681Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
title Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
spellingShingle Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
Gonçalves, S
HCC ORT
Arthroscopy
Achilles Tendon
Tendon Transfer
title_short Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
title_full Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
title_fullStr Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
title_full_unstemmed Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
title_sort Salvage Flexor Hallucis Longus Transfer for a Failed Achilles Repair: Endoscopic Technique
author Gonçalves, S
author_facet Gonçalves, S
Caetano, R
Corte-Real, N
author_role author
author2 Caetano, R
Corte-Real, N
author2_role author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Gonçalves, S
Caetano, R
Corte-Real, N
dc.subject.por.fl_str_mv HCC ORT
Arthroscopy
Achilles Tendon
Tendon Transfer
topic HCC ORT
Arthroscopy
Achilles Tendon
Tendon Transfer
description Flexor hallucis longus (FHL) transfer is a well-established treatment option in failed Achilles tendon (AT) repair and has been routinely performed as an open procedure. We detail the surgical steps needed to perform an arthroscopic transfer of the FHL for a chronic AT rupture. The FHL tendon is harvested as it enters in its tunnel beneath the sustentaculum tali; a tunnel is then drilled in the calcaneus as near to the AT footprint as possible. By use of a suture-passing device, the free end of the FHL is advanced to the plantar aspect of the foot. After adequate tension is applied to the construct, the tendon is fixed in place with an interference screw in an inside-out fashion. This minimally invasive approach is a safe and valid alternative to classic open procedures with the obvious advantages of preserving the soft-tissue envelope and using a biologically intact tendon.
publishDate 2015
dc.date.none.fl_str_mv 2015-10
2015-10-01T00:00:00Z
2016-03-24T16:18:50Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/2445
url http://hdl.handle.net/10400.17/2445
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arthrosc Tech. 2015 Sep 7;4(5):e411-6
10.1016/j.eats.2015.03.017
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Pubmed Central
publisher.none.fl_str_mv Pubmed Central
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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