A Single Approach Flexor Hallucis Longus Tendon Transfer in Elderly Patients with Chronic Insertional Achilles Tendon Pathologies: A Retrospective Review using Validated Ankle Scores

Dinesh Earnest Kunasingh, Theenesh Theyvan Balakrishnan, Tunku Naziha Tunku Zainudin, Mohamad Izani Ibrahim

Abstract: Purpose: Augmentation and reconstruction of chronic Achilles tendon pathologies with the flexor hallucis longus tendon with a single interference screw is a safe, reproducible and reliable outcome for elderly patients. This study aims to show the reliability of this procedure in elderly Asian patients with validated ankle scores. Methods: This is a single centre case series performed by a single surgeon where patient reported satisfaction and outcome were compiled on 6 patients. Preoperative and post operative scores measured were visual acuity scores (VAS), Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot & Ankle Society (AOFAS) score. The range of motion following surgery was also collected to determine function and success at 2 years after surgery. Results: Mean age of patients was 55 years (Range 53-59 years). All ankle scores improved at 2 year follow up. Overall patient satisfaction was 100%. No complications or re-rupture was observed during the period of study. Conclusion: Chronic insertional Achilles tendinopathy treatment with FHL tendon transfer has reliable and good outcomes. A larger sample size and longer follow up will be useful.

Keywords: Haglund's Deformity, Flexor hallucis longus, tendon transfer, validated ankle scores

How to Cite?: Dinesh Earnest Kunasingh, Theenesh Theyvan Balakrishnan, Tunku Naziha Tunku Zainudin, Mohamad Izani Ibrahim, "A Single Approach Flexor Hallucis Longus Tendon Transfer in Elderly Patients with Chronic Insertional Achilles Tendon Pathologies: A Retrospective Review using Validated Ankle Scores", Volume 13 Issue 9, September 2024, International Journal of Science and Research (IJSR), Pages: 352-358, https://www.ijsr.net/getabstract.php?paperid=SR24905093526, DOI: https://dx.doi.org/10.21275/SR24905093526