Isolated Flexor Hallucis Longus Tendon Transfer for Chronic Achilles Tendon Rupture: Systematic Review and Meta-Analysis.

ABSTRACT:

Background

Chronic Achilles tendon ruptures (CATRs) pose a clinical challenge because guidelines on optimal treatment modalities are lacking. This meta-analysis aims to investigate the use of Flexor Hallucis Longus (FHL) tendon transfer as a treatment option.

Methods

A literature search was performed across multiple databases from inception until 31 July 2025. The databases searched included Ovid MEDLINE^®, EMBASE (Elsevier), Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews. Included studies presented CATR patients of all ages, with no previous surgeries to the ankle, who were managed with an FHL tendon transfer (PROSPERO ID: CRD42023489724).

Results

Sixteen studies met the eligibility criteria with 323 patients. For

SUBMITTER: Khair YJ 

PROVIDER: S-EPMC12607451 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature