“…At latest follow-up, 12 months postoperatively, the patient showed an F I G U R E 1 After the excision of a myxoinflammatory fibroblastic sarcoma recurrence, the EHL tendon was sacrificed, leaving a 14 × 5 cm soft-tissue defect and 14-cm tendon gap. EHL, extensor hallucis longus F I G U R E 2 A 14 × 5 cm radial forearm flap with a 16-cm section of palmaris longus tendon including the investing deep fascia was harvested from the left forearm on a vascular pedicle It has been estimated that the EHL muscle contributes 15% of the dorsiflexion strength of the ankle, and injury or surgical excision of EHL tendon without reconstruction cause hallux dysfunction and results in a flexion deformity at interphalangeal joint (Bastías et al, 2019;Griffiths, 1965;Joseph & Barhorst, 2012;Kessler, 1973;Lipscomb & Kelly, 1955;Park et al, 2003;Pedreira et al, 2019;Robertson, Nutton, & Keating, 2006;Smith & Coughlin, 2008;Soucacos et al, 1992;Taylor & Townsend, 1979;Thordarson & Shean, 2005;Wong et al, 2014;Zielaskowski & Pontious, 2002). There is no consensus in the literature regarding the ideal reconstruction of EHL tendon after oncologic resection: most of the cases reported reconstructions of acute or chronic tendon rupture.…”