The Foot and Ankle Clinic

Achilles tendonitis

What is achilles tendonitis? | What does achilles tendonitis look like? | Insertional problems of the achilles | Symptoms of achilles tendonitis | Causes of achilles tendonitis | Treatments for achilles tendonitis | Physiotherapy for achilles tendonitis | Orthotic for achilles tendonitis | How soon should non-operative treatment of achilles tendonitis improve symptoms? | Injecting achilles tendonitis | What if achilles tendonitis fails to settle despite injection? | The surgical treatment of achilles tendonosis | What is the rationale behind the operations? | Achilles paratenon stripping and tendon incision - operative stills | Post operative course following achilles tendonitis surgical treatment | Complications following debridement of achilles tendonitis/tendonosis | Operative gallery for flexor hallucis longus tendon transfer | Post-operative course after flexor hallucis longus tendon transfer | Complications following a flexor hallucis longus transfer | What is a Hagglunds deformity? | What Is insertional tendonosis of the achilles? | Treatment for Hagglunds deformity/or insertional achilles tendonosis | Non-operative treatment of Hagglunds deformity, achilles tendonosis | Operative management of Hagglunds deformity and insertional achilles tendonosis

 

Operative Gallery For Flexor Hallucis Longus Tendon Transfer

a postero-medial skin incisionthe fhl muscle and tendon are identified in front of the achillesthe fhl (1) muscle belly lying directly beneath the achilles tendon (2). the posterior tibial nerve (3) identified and avoided
A postero-medial skin incisionThe FHL muscle and tendon are identified in front of the AchillesThe FHL (1) muscle belly lying directly beneath the Achilles tendon (2). The posterior tibial nerve (3) identified and avoided
the fhl tendon being traced into the sole of the foot (1) from behind the heel. here it is detached and pulled back to use as a tendon transfera large calcified mass being removed from the centre of the tendon (1) along with removal of all other unhealthy tendon tissue. the fhl tendon has been detached ready for transfer (2).in this case the insertion of the achilles tendon into the calcaneum (heel bone) has not needed to be detached (1).the fhl tendon (2) and muscle belly (3) are rerouted through the defect in the tendon.  the fhl is finally anchored to the bone (calcaneum) with an arthrex bio-tenodesis screw (not illustrated)
The FHL tendon being traced into the sole of the foot (1) from behind the heel. Here it is detached and pulled back to use as a tendon transferA large calcified mass being removed from the centre of the tendon (1) along with removal of all other unhealthy tendon tissue. The FHL tendon has been detached ready for transfer (2).
In this case the insertion of the Achilles tendon into the calcaneum (heel bone) has not needed to be detached (1).
The FHL tendon (2) and muscle belly (3) are rerouted through the defect in the tendon. The FHL is finally anchored to the bone (calcaneum) with an Arthrex bio-tenodesis screw (not illustrated)


Flexor Hallucis Longus Tendon Transfer

To view a surgeonís operative manual, go to The Foot Surgery Atlas


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