Comparison of Results of Open and Endoscopic Flexor Hallucis Tendon Longus Transfer for Management of Chronic Achilles’ Tendon Rupture

Description

In this presentation, Parag Garg discusses the endoscopic transfer of the flexor hallucis longus (FHL) tendon for treating chronic Achilles tendon ruptures. He begins by tracing the history of the procedure back to Hong Kong in 2007, where TH Lui pioneered the technique before it made its way to the UK, gaining legitimacy through Nicola Maffulli's endorsement. Garg highlights recent findings indicating that endoscopic FHL transfers yield better outcomes compared to traditional methods, particularly in terms of wound complications and quicker returns to work. He outlines the technique, emphasizing its simplicity for those skilled in arthroscopy, and compares various surgical approaches—specifically endoscopic versus open methods—concerning complications and recovery times. Garg concludes that the endoscopic approach is not only as effective but also safer with fewer complications, advocating for its broader acceptance in clinical practice.

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