Lacerations of the Plantar Aspect of the Foot

Yancey, Henry A.

doi:10.1097/00003086-197509000-00060

Clinical Orthopaedics and Related Research

1975

DOI: 10.1097/00003086-197509000-00060

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Lacerations of the Plantar Aspect of the Foot

Henry A. Yancey¹

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1983

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“…These authors thus recommended primary repair of lacerations of the flexor hallucis longus. Yancey 13 surveyed 88 orthopaedic surgeons on the management of hypothetical injuries of the plantar aspect of the foot. Most (80 to 90%) favored repair of the flexor hallucis longus, while less than half would repair other toe flexor tendons.…”

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confidence: 99%

Tendon Lacerations in the Foot

Floyd¹,

Heckman

Rockwood

1983

Foot & Ankle

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mentioning

confidence: 99%

Tendon Lacerations in the Foot

Floyd¹,

Heckman

Rockwood

1983

Foot & Ankle

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Tendon split lengthening technique for flexor hallucis longus tendon rupture

et al. 2017

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BackgroundFlexor hallucis longus (FHL) tendon rupture is a challenging injury to lead with clawing of the great toe when the FHL tendon is repaired too tight. When the diagnosis is delayed, the tendon ends may not be opposable because of contracture or poor tendon tissue.MethodsA technique to reconstruct FHL tendon rupture without a free tendon graft is described. A split tendon lengthening is performed at the midfoot around the knot of Henry. Ankle block anesthesia is used to allow the patient’s active movement of the interphalangeal (IP) joint to determine the appropriate length of the reconstructed tendon for maintaining balance and preventing the tendon from being too tight or too loose. Between May 2012 and September 2015, five patients with a total rupture of the FHL tendon, having tendon defect distal to the knot of Henry, were treated with split tendon lengthening.ResultsFour patients could actively plantarflex the great toe IP joint. One patient who was operated under spinal anesthesia could not actively plantarflex the great toe IP joint, but did not have extension deformity and did not want another procedure. The mean American Orthopedic Foot and Ankle Society (AOFAS) score at a mean follow-up of 44 months was 92 points (range, 80–100).ConclusionsThis technique is described to overcome the difficulty of reconstructing the FHL tendon with tendon defect. The tendon defect could be repaired after split tendon lengthening without a free tendon graft.

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Lacerations of the Plantar Aspect of the Foot

Cited by 2 publications

References 0 publications

Tendon Lacerations in the Foot

Tendon Lacerations in the Foot

Tendon split lengthening technique for flexor hallucis longus tendon rupture

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