Revision Achilles Tendon Repair Using Posterior Tibial Tendon Allograft and Flexor Hallucis Longus Transfer

Joseph Meter; Randa Bascharon; Ajit Amesur; Shivali Gupta; Daniel Arias; Taylor Anthony; Victor Hoang

doi:10.1016/j.eats.2021.11.001

Revision Achilles Tendon Repair Using Posterior Tibial Tendon Allograft and Flexor Hallucis Longus Transfer

Arthrosc Tech. 2022 Feb 10;11(3):e359-e363. doi: 10.1016/j.eats.2021.11.001. eCollection 2022 Mar.

Authors

Joseph Meter¹, Randa Bascharon^{1

2}, Ajit Amesur¹, Shivali Gupta¹, Daniel Arias¹, Taylor Anthony³, Victor Hoang^{1

4}

Affiliations

¹ Valley Hospital Medical Center, Las Vegas, Nevada.
² Orthopedic & Sports Medicine Institute of Las Vegas, Las Vegas, Nevada.
³ Touro University Nevada College of Osteopathic Medicine, Henderson, Nevada.
⁴ Mass General Brigham Sports Medicine-Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.

Abstract

Achilles tendon ruptures are common injuries seen by orthopaedic surgeons. A myriad of surgical options have been used in the management of Achilles tendon ruptures, but currently no gold standard exists. Re-rupture of Achilles tendon injuries occurs 1.7% to 5.6% of the time, and there has been no direct relationship demonstrated between complications and repair techniques used. The aim of this technique is to provide a method of fixation for the patient with an Achilles tendon re-rupture that provides a stable repair construct and mitigates the potential sequela of re-rupture. We describe the treatment of an Achilles tendon re-rupture with the use of a flexor hallucis longus tendon transfer and posterior tibial tendon allograft for repair of an 8.5 cm tendon gap.