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DOI: 10.1055/s-0040-1721525
A Combined Surgical Approach for Extensor Hallucis Longus Reconstruction: Two Case Reports
Abstract
The surgical management of foot tendon injuries is not well-represented in literature. To achieve excellent functional recovery of the extensor hallucis longus (EHL) tendon, we aimed at developing a reliable and feasible reconstructive technique.
A surgical technique for delayed reconstruction of the EHL tendon, combining an elongation procedure with second toe extensor tendon transfer, is described in this article.
The results of this combined approach for EHL tendon reconstruction were remarkable, since the patients of the two clinical cases reported regained active extension of the hallux after 6 months without any associated complication.
This study represents a step forward in foot surgery, since it describes an alternative technique to manage EHL tendon lesions.
Publication History
Article published online:
30 November 2020
© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Poggi JJ, Hall RL. Acute rupture of the extensor hallucis longus tendon. Foot Ankle Int 1995; 16 (01) 41-43
- 2 Joseph RM, Barhorst J. Surgical reconstruction and mobilization therapy for a retracted extensor hallucis longus laceration and tendon defect repaired by split extensor hallucis longus tendon lengthening and dermal scaffold augmentation. J Foot Ankle Surg 2012; 51 (04) 509-516
- 3 Wong JC, Daniel JN, Raikin SM. Repair of acute extensor hallucis longus tendon injuries: a retrospective review. Foot Ankle Spec 2014; 7 (01) 45-51
- 4 Mowlavi A, Schall J, Wilhelmi BJ. Extensor hallucis longus tenorrhaphy by using the Massachusetts General Hospital repair. J Foot Ankle Surg 2004; 43 (06) 412-418
- 5 Thordarson DB, Shean CJ. Nerve and tendon lacerations about the foot and ankle. J Am Acad Orthop Surg 2005; 13 (03) 186-196
- 6 Park HG, Lee BK, Sim JA. Autogenous graft repair using semitendinous tendon for a chronic multifocal rupture of the extensor hallucis longus tendon: a case report. Foot Ankle Int 2003; 24 (06) 506-508
- 7 Smith B, Coughlin M. Reconstruction of a chronic extensor hallucis longus tendon laceration with a gracilis tendon autograft. Orthopedics 2008; 31 (10) 31
- 8 Al-Qattan MM. Surgical treatment and results in 17 cases of open lacerations of the extensor hallucis longus tendon. J Plast Reconstr Aesthet Surg 2007; 60 (04) 360-367
- 9 Cerovac S, Miranda BH. Tendon ‘turnover lengthening’ technique. J Plast Reconstr Aesthet Surg 2013; 66 (11) 1587-1590
- 10 Leung YF, Ip SP, Chung OM. A new method of functional tendon transfer for the dysfunction of extensor hallucis longus. Foot Ankle Int 2002; 23 (12) 1124-1125