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Endoscopic flexor hallucis longus tendon transfer with horizontal calcaneal fixation and suturing onto itself
Alexis Thiounn1, Pierre Auzias1, Alexandre Hardy2
1Institut Main Pied Plastique Articulations Chirurgie Traumatologie (IMPPACT), Clinique Lille Sud, Lesquin, France.
Abstract:
Endoscopic flexor hallucis longus (FHL) tendon transfer to replace the calcaneal tendon is being increasingly performed. The main advantage is minimisation of approach-related morbidity. Fixation of the FHL tendon is usually achieved with a tenodesis screw placed in a vertical calcaneal tunnel. Here, we describe an endoscopic technique with FHL fixation by tenodesis in a horizontal calcaneal tunnel combined with suturing of the tendon onto itself. LEVEL OF EVIDENCE: IV.
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