Phone: 817-697-4038 Fax: 877-409-3962


If you need a Flexor Hallucis Tendon Transfer, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Flexor Hallucis Tendon Transfer?

Flexor hallucis tendon transfer is a surgical procedure performed to treat certain foot and ankle conditions, such as chronic Achilles tendon injuries or chronic plantar ulcers. During this procedure, the flexor hallucis longus tendon, which is a tendon located in the leg that helps to flex the big toe, is transferred and repositioned to provide additional support and function.

The procedure involves the following steps:

  1. Incision: The surgeon makes an incision on the leg and foot to access the flexor hallucis longus tendon and the affected area.
  2. Tendon preparation: The flexor hallucis longus tendon is identified, and the surgeon prepares it for transfer.
  3. Tendon transfer: The surgeon detaches the flexor hallucis longus tendon from its original insertion point and repositions it to a new location. The most common transfer sites are the calcaneus (heel bone) or the midfoot area.
  4. Attachment: The transferred tendon is then attached securely to the new location using specialized surgical techniques such as sutures or bone anchors.

The purpose of the flexor hallucis tendon transfer is to provide added support and function to the affected area. For example:

  • In cases of chronic Achilles tendon injuries, the transferred tendon can help augment the weakened Achilles tendon, improving its function and stability.
  • In cases of chronic plantar ulcers (sores on the bottom of the foot), the transferred tendon can provide additional padding and protection, reducing pressure on the ulcer and promoting healing.

After the surgery, the patient will undergo a period of immobilization and use of a cast or walking boot to protect the surgical site during the initial healing phase. Physical therapy and rehabilitation exercises are essential to gradually restore strength, flexibility, and function in the foot and ankle.

As with any surgical procedure, there are potential risks and complications associated with flexor hallucis tendon transfer, including infection, nerve injury, and delayed wound healing. The decision to undergo this surgery is made after a thorough evaluation and discussion with an orthopedic surgeon, who will assess the patient’s specific condition, medical history, and overall health to determine the most appropriate treatment plan.


If you would like to speak to an Orthopedic  Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.