Endoscopic Layered Adhesiolysis of Achilles Tendon-Flexor Hallucis Longus Complex via Medial Portals After Gastrocnemius Fascial Turn-Down Flap and Flexor Hallucis Longus Transfer for Chronic Achilles Tear.

ABSTRACT: Good outcomes have been reported after gastrocnemius fascial turn-down flap with flexor hallucis longus (FHL) augmentation for chronic Achilles tendon (AT) rupture. However, postoperative peritendinous fibrous adhesions with tightness and ankle stiffness can occur because of extensive soft tissue dissection and postoperative immobilization. Adhesions can occur at the deep surface of the FHL muscle, between the AT and FHL muscle, and between the Achilles tendon and the deep fascia of the leg. The purpose of this Technical Note is to describe the details of endoscopic layered adhesiolysis of the AT-FHL complex. This minimally invasive approach allows adequate release of every plane of the complex and immediate vigorous mobilization of the foot and ankle. This technique, combined with endosco

SUBMITTER: Lui TH 

PROVIDER: S-EPMC12712497 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature