FLEXOR HALLUCIS TENDON TRANSFER

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?

A flexor hallucis tendon transfer moves the flexor hallucis longus tendon from its original attachment to a new location near the Achilles tendon or heel bone. Surgeons use the transfer to add strength and support when the Achilles tendon has severe or long-term damage. The transferred tendon helps restore ankle strength and supports push-off during walking and other activities.

Flexor Hallucis Tendon Transfer Procedure

A flexor hallucis tendon transfer moves the flexor hallucis longus tendon from its original attachment to another location to restore strength and stability in the foot or ankle. Surgeons commonly use this procedure to treat certain Achilles tendon problems, especially severe or chronic tears that weaken the tendon. The surgeon makes an incision, identifies and releases the flexor hallucis longus tendon, then attaches the tendon to the heel bone or remaining Achilles tendon to provide additional support. During the procedure, the surgeon secures the transferred tendon with sutures, anchors, or other fixation methods. The new tendon attachment helps restore plantarflexion strength and supports the ankle during walking and other activities. Surgeons may combine the transfer with Achilles tendon repair or reconstruction when extensive damage requires additional support.

Benefits of a Flexor Hallucis Tendon Transfer

Moreover, flexor hallucis tendon transfer offers significant benefits for individuals experiencing severe foot deformities or conditions affecting the alignment of the big toe:

1. Improved Stability: By transferring the flexor hallucis tendon, which controls the movement of the big toe, to a new location on the foot, surgeons can enhance stability and correct abnormalities in toe positioning.
2. Enhanced Functionality: This procedure restores proper toe alignment, allowing for improved balance and weight distribution during walking and other weight-bearing activities.
3. Pain Reduction: Many patients experience relief from pain associated with conditions like hallux valgus (bunions) or rigid hammertoe deformities, which can be exacerbated by improper toe alignment.
4. Prevention of Joint Damage: Addressing misalignment early can prevent progressive joint damage and reduce the likelihood of future complications, such as arthritis.
5. Recovery of Normal Toe Function: With proper rehabilitation, patients can regain normal toe function and flexibility, leading to improved overall foot mechanics and quality of life.

Recovery for a Flexor Hallucis Tendon Transfer

Recovery after a flexor hallucis longus (FHL) tendon transfer usually begins with immobilization to protect the transferred tendon while healing occurs. Patients commonly wear a splint for about 10–14 days, followed by a cast or walking boot. Depending on the specific surgery, surgeons may restrict weight bearing for several weeks, often around six weeks, before gradually allowing more weight on the foot. Physical therapy helps patients regain strength, flexibility, balance, and normal walking mechanics after the initial healing period. Therapists gradually increase movement and activity while protecting the transferred tendon from excessive stress. Swelling may continue for several months, and full recovery can take many months or up to a year, depending on the reason for surgery and any additional procedures.

If you would like to speak to a Texas-Based Orthopedic Specialist, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.