Treatment of Chronic Achilles Tendinopathy and Ruptures with Flexor Hallucis Tendon Transfer: Clinical Outcome and MRI Findings

Abstract

Augmentation with FHL transfer is a valuable option in the treatment of chronic Achilles tendinopathy with and without rupture. Our results demonstrate high patient satisfaction without donor site morbidity. The FHL tendon is well integrated into the Achilles tendon. Hypertrophy of the FHL muscle suggests functional incorporation into plantar flexion. The primary benefit of the operation is pain relief and increased muscle strength.