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Tendon transfers for Achilles reconstruction.

Johnny L Lin1

  • 1Department of Orthopaedic Surgery, Rush University Medical Center, 1725 W. Harrison Street, Ste 1063, Chicago, IL 60612, USA. jlin@rushortho.com

Foot and Ankle Clinics
|October 28, 2009
PubMed
Summary

Tendon transfers help restore foot and ankle function after Achilles tendon issues. This review covers surgical techniques and outcomes for various Achilles tendon problems.

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Tendon Biomechanics

Background:

  • Tendon transfers are vital for restoring function in neglected ruptures, degenerated tendons, and deformities of the foot and ankle.
  • The Achilles tendon is frequently affected due to its critical role in gait and running, and its limited blood supply.
  • Addressing Achilles tendon pathology is essential for maintaining mobility and quality of life.

Purpose of the Study:

  • To provide orthopedic foot and ankle surgeons with a comprehensive overview of tendon transfer principles and techniques.
  • To discuss surgical strategies for both primary and revision cases involving the Achilles tendon.
  • To review published outcomes of various tendon transfer procedures for Achilles tendon dysfunction.

Main Methods:

  • Review of general principles of tendon transfers specific to Achilles tendon function.
  • Discussion of various surgical techniques employed in foot and ankle tendon transfers.
  • Compilation and analysis of published results from studies utilizing these techniques.

Main Results:

  • Tendon transfers offer a versatile solution for a range of Achilles tendon pathologies.
  • Specific surgical techniques have demonstrated efficacy in restoring function and correcting deformities.
  • Published data supports the successful application of these methods in both primary and revision scenarios.

Conclusions:

  • Tendon transfers are a valuable reconstructive option for Achilles tendon problems.
  • A thorough understanding of techniques and outcomes enables surgeons to manage complex cases effectively.
  • This review equips orthopedic surgeons with diverse options for addressing Achilles tendon dysfunction.

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Last Updated: Jun 19, 2026

Harvesting of Peroneus Longus Tendon Autograft
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Harvesting of Peroneus Longus Tendon Autograft

Published on: September 2, 2025