Useful tips

What is an FHL transfer?

What is an FHL transfer?

An FHL transfer is performed to augment an Achilles reconstruction utilizing Arthrex Tenodesis Screw™ technology. The tendon is excised either medially or laterally and transferred into a bone tunnel in the calcaneus bone. Final fixation is achieved with a screw from the Bio-Tenodesis™ Screw System.

What is the FHL tendon?

Flexor hallucis longus (FHL) is a powerful muscle located on the posterior aspect of the fibular below the deep fascia of the calf. In its own synovial sheath, the tendon passes downwards, deep to the flexor retinaculum, crossing the posterior ankle joint, lateral to flexor digitorum longus.

How is a torn Achilles tendon repaired?

During the surgery, an incision is made in the back of the calf. If the tendon is ruptured, the surgeon will stitch the tendon back together. If the tendon is degenerated, the surgeon may remove the damaged part of the tendon and repair the rest of the tendon with stitches.

Why do FHL tendons transfer?

Flexor hallucis longus (FHL) tendon transfer aims to relieve pain and restore function after Achilles tendon rupture in patients with Achilles tendinopathy. The choice of operative treatment for chronic Achilles tendon disease is based on the size of the tendon rupture.

How do I strengthen my FHL?

FHL strengthening Using resistance bands or tubing, wrap around the big toe. With light to medium resistance pull to bands/ tubing, begin actively plantar-flexing the big toe and foot. Hold for 8-10 seconds. Slowly resist the pull back into neutral position.

How long does FHL tendonitis last?

In most cases, normal activity can resume within a few weeks with rest and conservative treatment of FHL tendonitis. When surgery is involved, recovery time will take up to three months before you can return to play.

Where is the flexor hallucis brevis?

Flexor hallucis brevis (FHB) is one of the muscles in the third layer (of four layers) of plantar muscles. It is located adjacent to the plantar surface of the 1st metatarsal and contains 2 sesamoid bones.

What is an FDL transfer?

FDL tendon transfer is used for posterior tibial tendon dysfunction. The flexor digitorum longus tendon is traced to the master knot of Henry and harvested. It is then transferred to the navicular and stabilized with the DX button on the dorsal cortex as well as a Tenodesis screw for aperture fixation.

What extends the big toe?

The extensor hallucis longus muscle is a thin skeletal muscle, situated between the tibialis anterior and the extensor digitorum longus. It extends the big toe and dorsiflects the foot. It also assists with foot eversion and inversion.