Technique tip: EDL-to-EHL double loop transfer for extensor hallucis longus reconstruction

Gonzalo F. Bastías, Natalio Cuchacovich, Adam Schiff, Giovanni Carcuro, Manuel J. Pellegrini*

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

5 Citas (Scopus)


Background: Extensor hallucis longus (EHL) tendon injuries often occur in the setting of lacerations to the dorsum of the foot. End-to-end repair is advocated in acute lacerations, or in chronic cases when the tendon edges are suitable for tension free repair. Reconstruction with allograft or autograft is advocated for cases not amenable to a primary direct repair. This is often seen in cases with tendon retraction and more commonly in the chronic setting. In many countries the use of allograft is very limited or unavailable making reconstruction with autograft and tendon transfers the primary choice of treatment. Tendon diameter mismatch and diminished resistance are common issues in other previously described tendon transfers. Methods: We present the results of a new technique for reconstruction of non-reparable EHL lacerations in three patients using a dynamic double loop transfer of the extensor digitorum longus (EDL) of the second toe that addresses these issues. Results: At one-year follow up, all patients recovered active/passive hallux extension with good functional (AOFAS Score) and satisfaction results. No reruptures or other complications were reported in this group of patients. No second toe deformities or dysfunction were reported. Conclusions: Second EDL-to-EHL Double Loop Transfer for Extensor Hallucis Longus reconstruction is a safe, reproducible and low-cost technique to address EHL ruptures when primary repair is not possible. Level of evidence: IV (Case Series).

Idioma originalInglés
Páginas (desde-hasta)272-277
Número de páginas6
PublicaciónFoot and Ankle Surgery
EstadoPublicada - jun. 2019
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2017 European Foot and Ankle Society


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