The flexor hallucis longus tendon transfer for chronic tendo-achilles ruptures revisited

Abstract

Ann R Coll Surg Engl 2003; 85is pulled partially into the umbilical port under vision, while the camera is being withdrawn. The Hassan's umbilical port is then removed and the ends of the silk are grasped with artery forceps and pulled, thereby delivering the bag to the surface of the wound (Fig. 2). The bag and its contents may then be retrieved safely leaving the wound completely protected.Discussion: Most retrieval bags have a tendency to tear or the pulling grasper may slip during extraction.2 Tying a silk suture onto the BERT bag enables it to be pulled to the surface quickly and safely. The need for an additional 10-mm epigastric port or a 5-mm laparoscope to view the gallbladder during retrieval is thus eliminated. We have found this method of gallbladder retrieval simple, safe and inexpensive. We recommend its routine use during '5-mm' laparoscopic cholecystectomy. OrthopaedicsThe flexor hallucis longus tendon transfer for chronic tendo-achilles ruptures revisited RB Dalal, M Zenios Department of Orthopaedic Surgery, Stepping Hill Hospital, Stockport, UKBackground: Chronic or neglected ruptures of the tendoachilles are difficult to deal with. We report excellent results following three operations in two elderly patients on longterm steroid therapy, using the flexor hallucis longus tendon.

Repair of Achilles Tendon Ruptures with Peroneus Brevis Tendon Augmentation

“…14 Achilles tendon repair is commonly augmented with the plantaris tendon, peroneus brevis tendon, and flexor hallucis longus tendon. [4][5][6] The latter 2 have comparable mechanical properties. 15 Plantar flexors are the muscles that push off the ground during walking.…”

Flexor hallucis longus tendon transfer through a single incision in the treatment of chronic Achilles tendon rupture with large defect

“…This technique has been gradually recognized and continually improved over the years. Studies have shown that FHLT transfer is a safe and effective surgical approach for patients with chronic AT rupture [25][26][27][28]. However, the evidence of this technique is insufficient due to the limited number of reports and cases, and the lack of long term follow-up data.…”

Reconstruction of neglected chronic tendoachilles tear healed in continuity: surgical technique

“…In some cases, a patient sustains a rupture, but this is not diagnosed and the patient presents with a chronic rupture 4-6 weeks later [10][11][12][13][14][15]. Although there is still much controversy about how to manage acute ruptures, most surgeons agree that chronic ruptures should be treated operatively when possible, as they are associated with considerable functional morbidity [16].…”