Dear all,
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I have a patient that has undergone two failed failed surgeries on her Achilles tendon. MRI shows significant thickening of AS with signs of tendiopathy. Gastro-soleus-complex is lengthened (I think about 5-8 degrees). Plantarflexion deficit is 50% compared to non-operated foot (Cybex). Walks with limp. Sports (except for swimming) not possible.
My reasearch shows that the only surgical option could be an FHL transfer. However, also other reconstruction is suggested in literature: fascia lata, gracilis . Do not know if muscles will come back. Have referred patient to university prof. , but patient comes back and asks for advice on the different options.
Patient is 40 years old, otherwise healthy. Any reliable studies out there?
Thanks for any comments.
Frida
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