Research Article
Reconstruction of the Achilles Tendon after Tumor Excision with Flexor Hallucis Longus Tendon Transfer
| Michael Ryan Briseno1, Raffi Stephen Avedian2, Jeffrey Edward Krygier2* and Kenneth John Hunt2,3 | ||
| 1Orthopaedic Resident, Stanford University Medical, Center, Stanford, CA, USA | ||
| 2Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA | ||
| 3Physician Santa Clara, Valley Medical Center, San Jose, CA, USA | ||
| Corresponding Author : | Dr. Jeffrey Edward Krygier Santa Clara Valley Medical Center Department of Orthopaedic Surgery 6th floor, Old Main, 751 South Bascom Ave San Jose, CA 95128, USA Tel: (408) 885-5395 Fax: (408) 885-3749 E-mail: Jeffrey.Krygier@hhs.sccgov.org |
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| Received October 03, 2014; Accepted October 29, 2014; Published October 31, 2014 | ||
| Citation: Briseno MY, Avedian RS, Krygier JE, Hunt KJ (2014) Reconstruction of the Achilles Tendon after Tumor Excision with Flexor Hallucis Longus Tendon Transfer. Clin Res Foot Ankle 2:158. doi: 10.4172/2329-910X.1000158 | ||
| Copyright: © 2014 Briseno MR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | ||
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Abstract
Reconstruction following excision of tumors of the Achilles tendon poses a challenge to the treating surgeon. Described techniques for restoration of plantarflexion in the setting of an unrepairable tendon include the use allograft, autograft, tendon transfer, and free flap. In tumor surgery, options may be limited as total tendon resection may be necessary - leaving little or no residual tendon to which allograft or autograft can be secured. Patient factors such as a radiated field or need for timely commencement of adjuvant therapies may make the use of avascular allografts or microvascular anastomosis for free flap application disadvantageous. This report describes two cases in which patients underwent removal of large neoplasms involving the Achilles tendon and reconstruction of the tendon with flexor hallucis longus (FHL) tendon transfer and primary closure. Both patients had good outcomes as relates to function and cosmesis. Though minor wound complications arose, neither the patient required flap coverage. Both wounds healed with local wound care. We believe the described technique is a safe, effective adaptation of the FHL transfer described for neglected Achilles tears and is useful in the management of patients with plantarflexion deficits following tumor resection.
