Related Experiment Video
Updated: Aug 8, 2026
Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
Bilateral Achilles Sleeve Avulsions: A Comparison Between a Direct Repair and Flexor Hallucis Longus Transfer with
Magnolia Livingston1, William R Bigham2, Harrison S Fellheimer3
1Tulane University School of Medicine, New Orleans, Louisiana.
Case:
A 37-year-old woman with morbid obesity sustained bilateral Achilles sleeve avulsions. She underwent primary repair with a reinforced, bioinductive collagen scaffold (Biobrace, ConMed, Largo, FL) to the right Achilles and flexor hallucis longus (FHL) transfer with the same biologic augmentation to the left Achilles. Magnetic resonance imaging at 6 months demonstrated tendon healing and tissue incorporation. At the 1-year follow-up, she had regained strength (left > right) and motion (equal), returning to full duty as a store clerk.
Conclusion:
This is one of two reports we are aware of on bilateral Achilles sleeve avulsions and the first comparing FHL transfer to primary repair and synthetic augmentation.
