Primary Extensor Hallucis Longus Repair With TeKBrace Augmentation in a Professional Athlete: A Case Report

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomaterials Science

Background:

• Extensor hallucis longus (EHL) tendon injuries can significantly impair athletic performance.
• Primary repair is standard, but concerns exist regarding early loading and delayed return to sport.

Purpose of the Study:

• To present a case of primary EHL tendon repair augmented with a synthetic scaffold (TeKBrace).
• To highlight the role of load-sharing constructs in accelerating rehabilitation for professional athletes.

Main Methods:

• Primary end-to-end repair of the EHL tendon.
• Augmentation with the TeKBrace synthetic reinforcement scaffold for mechanical support.
• Accelerated rehabilitation protocol with early protected motion.

Main Results:

• The professional athlete achieved functional strength at 6 weeks post-surgery.
• Return to sport was accomplished at 10 weeks postoperatively.
• No complications were reported during the recovery period.

Conclusions:

• Synthetic scaffold augmentation may offer enhanced mechanical support for EHL tendon repairs.
• This approach can facilitate early load-sharing and potentially accelerate return to high-level athletic function.
• The TeKBrace scaffold may help maintain native tendon mechanics while providing immediate support.