Endoscopic FHL Transfer for Acute Achilles Tendon Rupture

Aristotle University Of Thessaloniki

Status: Invitation-only

Conditions: Achilles Tendon Rupture; Flexor Hallucis Longus; Achilles Tendon Injury; Achilles Tendon Surgery

Treatments: Procedure: Endoscopic Flexor Hallucis Longus transfer for Acute Achilles tendon rupture

Study type: Observational

Funder types: Other

Identifiers

NCT06641401

6/14.6.2022

Details and patient eligibility

About

This observational study aims to evaluate the outcome of endoscopic flexor hallucis longus transfer (FHLt) in patients with acute Achilles tendon rupture (AATR).

Full description

This evaluation will be performed by examining the following parameters:

1. Patient satisfaction quantified with the Achilles tendon Total Rupture Score (ATRS). This is the primary outcome.
2. Complication rate
3. Ankle and Calf circumference compared to the contralateral healthy limb.
4. Passive and Active range of ankle motion compared to the contralateral healthy limb.
5. Hallux flexion force compared to the contralateral healthy limb.

Enrollment: 28 estimated patients

Sex: All

Ages: 18 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Signed Consent Form
• Acute Achilles Tendon Rupture (<4 weeks)
• Underwent operative treatment with Endoscopic Flexor Hallucis Longus transfer
• More than 24 months postoperative follow-up
• Patients operated after 2015

Exclusion criteria

• Inability or Unwillingness to cooperate
• Medically unfit for examination
• Age less than 18 or more than 75 years
• Non-operative Management or any other Surgical Management
• Neglected Achilles Tendon Rupture (>4 weeks)
• Bilateral Achilles Tendon Rupture
• Patients operated before 1.1.2015 or after 1.1.2023
• Comorbidities interfering with the secondary outcomes (e.g. Venous insufficiency resulting in lower limb excessive edema interferes with ankle and calf circumference, rheumatoid arthritis and/or previous foot and ankle surgery interferes with active and passive range of motion of the ankle, etc)

Trial design

28 participants in 1 patient group

Endoscopic Flexor Hallucis Longus Transfer Group

Description:

28 Patients with acute Achilles tendon rupture treated with Endoscopic Flexor Hallucis Longus transfer by a single surgeon in a single hospital (General Hospital of Naousa, Greece). All patients followed the same postoperative rehabilitation program.

Treatment:

Procedure: Endoscopic Flexor Hallucis Longus transfer for Acute Achilles tendon rupture