Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Arthroscopy & Endoscopy
Endoscopic Transfer of FHL for Chronic Achilles Rupture
A chronic Achilles problem treated with an endoscopic FHL transfer — the highest-safety, least-tissue-damage route, eliminating the soft-tissue complications of open surgery.
Patient Age
35 Years
MECHANISM
Mild trauma
PRESENTATION
2.5 Months of Heel Pain
APPROACH
Prone Endoscopic FHL Transfer, Haglund Excision
01
Clinical Rationale
An open transfer carries real soft-tissue and wound risk in this region. Working endoscopically through small portals achieved the same reconstruction with the least tissue damage — effectively removing the wound complications that follow open surgery.
02
Surgical Approach
An endoscopic transfer of the flexor hallucis longus (FHL) was performed in the prone position through small portals, with screw fixation and Haglund excision — restoring function while avoiding open-surgery wound complications.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Endoscopic FHL transfer for chronic Achilles ruptures is an established, high-safety procedure.
#2
It causes the least tissue damage of the available techniques.
#3
Soft-tissue complications are effectively eliminated with this approach.
#4
Working through small portals avoids the wound problems of open transfer.
04
Clinical Care Points
RIGHT SIDE
- i) Prone-position endoscopic portals
ii) FHL transfer with screw fixation
iii) Endoscopic Haglund excision
iv) Minimal soft-tissue disruption
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Endoscopic Transfer of FHL for Chronic Achilles Rupture
A chronic Achilles problem treated with an endoscopic FHL transfer — the highest-safety, least-tissue-damage route, eliminating the soft-tissue complications of open surgery.
A 35-year-old woman presented with heel pain and snapping approximately two and a half months after a minor injury. The symptoms were related to a chronic Achilles rupture that no longer had suitable tendon ends for a simple repair. An FHL transfer was planned to restore plantar-flexion strength while limiting wound morbidity around the compromised heel.
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