Reconstruction of the extensor hallucis longus with a hamstring tendon autograft: a systematic review

Objective: The purpose of this study was to systematically review the literature regarding use hamstring tendon (HT) autograft for extensor hallucis longus (EHL) reconstruction. Methods: A systematic search studies addressing HT reconstruction nonrepairable EHL injuries performed in December 2021. databases searched include Embase, Medline, Europe PMC, Cochrane, and Scopus. Predetermined inclusion exclusion criteria were implemented, appropriate selected review. Results: database resulted one that met criteria. Three additional after screening references study. total four included final Clinical presentation, surgical technique, postoperative rehabilitation, clinical follow-up, outcomes recorded. All reported single cases using a semitendinosus with satisfactory results no complications. Patients may experience five degrees decrease range motion or minimal hallux extension strength; however, all patients asymptomatic limitations. Conclusion: Four case reports reviewed demonstrated as viable option favorable Level Evidence IV; Systematic Review