Tendon lengthening and transfer

Tendon split lengthening technique for flexor hallucis longus tendon rupture

BACKGROUND Flexor hallucis longus (FHL) tendon rupture is a challenging injury to lead with clawing of the great toe when the FHL tendon is repaired too tight. When the diagnosis is delayed, the tendon ends may not be opposable because of contracture or poor tendon tissue. METHODS A technique to reconstruct FHL tendon rupture without a free tendon graft is described. A split tendon lengthenin...

Mini-invasive Technique of Achilles Tendon Lengthening

Lateral Column Lengthening for Posterior Tibial Tendon Dysfunction and Flatfoot

INTRODUCTION: Posterior tibial tendon dysfunction (PTTD) is the most common cause of the adult flatfoot and is treated with a variety of operations such as tendon transfers, ligament reconstruction, osteotomies, and arthrodeses. Lateral column lengthening with a calcaneocuboid fusion (LCL) (Fig. 1) has been reported for treatment of PTTD in adults (1) to correct the deformity, while minimizing ...

Achilles Tendon Rupture: Avoiding Tendon Lengthening during Surgical Repair and Rehabilitation

Achilles tendon rupture is a serious injury for which the best treatment is still controversial. Its primary goal should be to restore normal length and tension, thus obtaining an optimal function. Tendon elongation correlates significantly with clinical outcome; lengthening is an important cause of morbidity and may produce permanent functional impairment. In this article, we review all factor...

Patellar tendon lengthening for patella infera using the Ilizarov technique.

Patella infera can cause knee pain and lead to patellofemoral osteoarthritis. Treatment is usually unsatisfactory. We describe a case of severe patella infera after operative treatment for fracture of the patella. We used Ilizarov external fixation and gradual lengthening of the patellar tendon. The patellar height was restored and the patient's symptoms were much improved.