MOJ Header

Current Issue - November 2023, Volume 17, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Flexor Hallucis Longus Transfer And V-Y Plasty: An Effective Treatment Modality for Chronic Achilles Rupture - A Case Series


  1. Ochen Y, Beks RB, van Heijl M, Hietbrink F, Leenen LPH, van der Velde D, et al. Operative treatment versus nonoperative treatment of Achilles tendon ruptures: systematic review and meta-analysis. BMJ. 2019; 364: k5120. doi: 10.1136/bmj.k5120
  2. Tarantino D, Palermi S, Sirico F, Corrado B. Achilles Tendon Rupture: Mechanisms of Injury, Principles of Rehabilitation and Return to Play. J Funct Morphol Kinesiol. 2020; 5(4): 95. doi: 10.3390/jfmk5040095
  3. Yang X, Meng H, Quan Q, Peng J, Lu S, Wang A. Management of acute Achilles tendon ruptures: A review. Bone Joint Res. 2018; 7(10): 561-9. doi: 10.1302/2046-3758.710.BJR-2018-0004.R2
  4. Fares MY, Khachfe HH, Salhab HA, Zbib J, Fares Y, Fares J. Achilles tendinopathy: Exploring injury characteristics and current treatment modalities. Foot (Edinb). 2021; 46: 101715. doi: 10.1016/j.foot.2020.101715
  5. Ahemad A, Abdul NM, Syed MA. Chronic insertional achilles tendon ruptures treated by suture anchor repair and augmentation with flexor hallucis longus tendon transfer. Int J Res Orthop. 2018; 4(2): 227-31. doi: 10.18203/issn.2455-4510.IntJResOrthop20180442
  6. Khiami F, Di Schino M, Sariali E, Cao D, Rolland E, Catonné Y. Treatment of chronic Achilles tendon rupture by shortening suture and free sural triceps aponeurosis graft. Orthop Traumatol Surg Res. 2013; 99(5): 585-91. doi: 10.1016/j.otsr.2013.03.021
  7. Staggers JR, Smith K, de C Netto C, Naranje S, Prasad K, Shah A. Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement. Int Orthop. 2018; 42(4): 829-34. doi: 10.1007/s00264-018-3834-x
  8. Hadi M, Young J, Cooper L, Costa M, Maffulli N. Surgical management of chronic ruptures of the Achilles tendon remains unclear: a systematic review of the management options. Br Med Bull. 2013; 108: 95-114. doi: 10.1093/bmb/ldt019
  9. Wapner KL, Pavlock GS, Hecht PJ, Naselli F, Walther R. Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer. Foot Ankle. 1993; 14(8): 443-9. doi: 10.1177/107110079301400803
  10. Lever CJ, Bosman HA, Robinson AHN. The functional and dynamometer-tested results of transtendinous flexor hallucis longus transfer for neglected ruptures of the Achilles tendon at six years' follow-up. Bone Joint J. 2018; 100-B(5): 584-9. doi: 10.1302/0301-620X.100B5.BJJ-2017-1053.R1
  11. El-Tantawy A, Azzam W. Flexor hallucis longus tendon transfer in the reconstruction of extensive insertional Achilles tendinopathy in elderly: an improved technique. Eur J Orthop Surg Traumatol. 2015; 25(3): 583-90. doi: 10.1007/s00590-014-1569-y
  12. Abubeih H, Khaled M, Saleh WR, Said GZ. Flexor hallucis longus transfer clinical outcome through a single incision for chronic Achilles tendon rupture. Int Orthop. 2018; 42(11): 2699-704. doi: 10.1007/s00264-018-3976-x
  13. Richter M, Agren PH, Besse JL, Coster M, Kofoed H, Maffulli N, et al. EFAS Score - Multilingual development and validation of a patient-reported outcome measure (PROM) by the score committee of the European Foot and Ankle Society (EFAS). Foot Ankle Surg. 2018; 24(3): 185-204. doi: 10.1016/j.fas.2018.05.004
  14. Abraham E, Pankovich AM. Neglected rupture of the Achilles tendon. Treatment by V-Y tendinous flap. J Bone Joint Surg Am. 1975; 57(2): 253-5.
  15. Maffulli N, Ajis A, Longo UG, Denaro V. Chronic rupture of tendo Achillis. Foot Ankle Clin. 2007; 12(4): 583-96, vi. doi: 10.1016/j.fcl.2007.07.007
  16. Den Hartog BD. Flexor hallucis longus transfer for chronic Achilles tendonosis. Foot Ankle Int. 2003; 24(3): 233-7. doi: 10.1177/107110070302400306
  17. Easley ME, Wiesel SW, editors. Operative Techniques in Foot and Ankle Surgery. Lippincott Williams & Wilkins; 2011. 1024 p.
  18. Schweitzer KM Jr, Dekker TJ, Adams SB. Chronic Achilles Ruptures: Reconstructive Options. J Am Acad Orthop Surg. 2018; 26(21): 753-63. doi: 10.5435/JAAOS-D-17-00158
  19. Maffulli N, Oliva F, Costa V, Del Buono A. The management of chronic rupture of the Achilles tendon: minimally invasive peroneus brevis tendon transfer. Bone Joint J. 2015; 97-B(3): 353-7. doi: 10.1302/0301-620X.97B3.33732
  20. Ozer H, Ergisi Y, Harput G, Senol MS, Baltaci G. Short-Term Results of Flexor Hallucis Longus Transfer in Delayed and Neglected Achilles Tendon Repair. J Foot Ankle Surg. 2018; 57(5): 1042-7. doi: 10.1053/j.jfas.2018.03.005
  21. Alhaug OK, Berdal G, Husebye EE, Hvaal K. Flexor hallucis longus tendon transfer for chronic Achilles tendon rupture. A retrospective study. Foot Ankle Surg. 2019; 25(5): 630-5. doi: 10.1016/j.fas.2018.07.002

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License