Acute Reconstruction of Traumatic Zone IV Re-tear of Extensor Hallucis Longus Tendon using Extensor Hallucis Brevis loop Technique - A Mid-term Follow-up Case Report

Praveen Kumar Anbalagan; Gaurav Sharma; Waghchaure Chaitanya; Rahul Kadam; Shrey Binyala; Tanmay Asawa

doi:10.13107/jocr.2022.v12.i08.2978

Acute Reconstruction of Traumatic Zone IV Re-tear of Extensor Hallucis Longus Tendon using Extensor Hallucis Brevis loop Technique - A Mid-term Follow-up Case Report

J Orthop Case Rep. 2022 Aug;12(8):89-92. doi: 10.13107/jocr.2022.v12.i08.2978.

Authors

Praveen Kumar Anbalagan¹, Gaurav Sharma¹, Waghchaure Chaitanya², Rahul Kadam¹, Shrey Binyala¹, Tanmay Asawa¹

Affiliations

¹ Department of Orthopaedics, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India.
² Department of Orthopaedics, Byramjee Jeejeebhoy Medical College and Sasoon Hospital, Pune, Maharashtra, India.

Abstract

Introduction: The present case report describes an acute reconstruction of extensor hallucis longus (EHL) tendon with defect treated using looped extensor hallucis brevis (EHB) tendon graft.

Case report: A 40 year male manual labor had an acute traumatic EHL tear which was repaired at a primary health care center. After 2 days, the patient felt a sudden click and a re-tear at zone IV of EHL. Since there was a defect of 3.5 cm which was not amenable for primary repair, EHB graft was used for the reconstruction in a loop fashion. The foot and ankle disability index score was 95.2 at 2 years follow-up with grade 4 + power.

Conclusion: EHB graft is a good alternative to other autografts for extensor hallucis longus reconstructions with good clinical and functional outcomes.

Keywords: Extensor hallucis longus tendon; fibrewire; fracture; loop technique; trauma.

Publication types

Case Reports