A Case Report of Flexor Hallucis Tendon Transfer in Chronically Ruptured Achilles Tendon

To report the short-term results of flexor hallucis longus tendon transfer in chronically ruptured Achilles tendon. A chronically tendo-achilles is often difficult to treat, as there is a huge gap between the tendon ends and retraction of calf muscles. Surgical reconstruction is considered superior to conservative management. This a case report of 45-year-old male with 2 months old right Achilles tendon tear surgically corrected by flexor hallucis tendon anchored to calcaneum by a fibre wire and fixed using Lindholm technique from gastrocnemius aponeurosis. The mean follow-up period was one year, with AOFAS score of 69 pre-operatively and significantly improved to 88 post-operatively. Hence transfer of FHL for reconstruction in chronically ruptured Achilles tendons is easily performed, safe and effective inpatient with moderate demands.