FHL Tendon Transfer

FHL tendon transfer is used for reinforcement of an Achilles repair. Arthrex has developed the Tenodesis Tension-Slide Technique for FHL tendon transfer. The flexor hallucis longus tendon is traced to the calcaneus and harvested. The Tenodesis Graft Sizing Kit is used to determine the tendon diameter and which size implant system to open. The FHL tendon is then transferred to the posterior calcaneus and stabilized with the DX button on the plantar cortex, as well as a Tenodesis screw for aperture fixation.

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FHL tendon transfer is used for reinforcement of an Achilles repair. Arthrex has developed the Tenodesis Tension-Slide Technique for FHL tendon transfer. The flexor hallucis longus tendon is traced to the calcaneus and harvested. The Tenodesis Graft Sizing Kit is used to determine the tendon diameter and which size implant system to open. The FHL tendon is then transferred to the posterior calcaneus and stabilized with the DX button on the plantar cortex, as well as a Tenodesis screw for aperture fixation.

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Educational Resources and Products

Arthroscopic FHL Tendon Transfer

Joshua Nadaud, MD
Surgical Technique Videos | 05:12 | English | 07/08/2016 | VID1-00786-EN A

Insertional Achilles Rupture Repair With Achilles SpeedBridge™ Repair System and FHL Tendon Transfer

Joshua Metzl, MD
Surgical Technique Videos | 09:27 | English | 08/28/2015 | VID1-00438-EN A
Flexor Hallucis Longus (FHL) Tendon Transfer
Flexor Hallucis Longus (FHL) Tendon Transfer
Surgical Technique Animations | 01:48 | English | 09/08/2014 | AN1-00034-EN A
Flexor Hallucis Longus Tendon Transfer With DX Button and Tension-Slide Technique
Flexor Hallucis Longus Tendon Transfer With DX Button and Tension-Slide Technique
Surgical Technique Guides | English | 09/17/2019 | LT1-000029-en-US A
Anterior Tibialis Tendon Transfer Using DX Button and Tension-Slide Technique
Anterior Tibialis Tendon Transfer Using DX Button and Tension-Slide Technique
Surgical Technique Guides | English | 12/02/2019 | LT1-000051-en-US A
FHL Tendon Transfer Using the DX Button and Tension-Slide Technique
FHL Tendon Transfer Using the DX Button and Tension-Slide Technique
Surgical Technique Animations | 03:30 | English | 01/06/2020 | AN1-000047-en-US B
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Surgical Technique Videos (4)

FHL Implant System With Tension-Slide Technique
FHL Implant System With Tension-Slide Technique
Thomas O. Clanton, MD
04:59 | English | 10/11/2019 | VID1-000654-en-US A
Arthroscopic FHL Tendon Transfer
Arthroscopic FHL Tendon Transfer
Joshua Nadaud, MD
05:12 | English | 07/08/2016 | VID1-00786-EN A

Surgical Technique Animations (2)

FHL Tendon Transfer Using the DX Button and Tension-Slide Technique
FHL Tendon Transfer Using the DX Button and Tension-Slide Technique
03:30 | English | 01/06/2020 | AN1-000047-en-US B
Flexor Hallucis Longus (FHL) Tendon Transfer
Flexor Hallucis Longus (FHL) Tendon Transfer
01:48 | English | 09/08/2014 | AN1-00034-EN A

Surgical Technique Guides (2)


Case Presentation Videos (3)

Chronic Insertional Achilles Tendinopathy - FHL Tendon Transfer Using the Tension-Slide Technique
Chronic Insertional Achilles Tendinopathy - FHL Tendon Transfer Using the Tension-Slide Technique
Thomas O. Clanton, MD
05:42 | English | 08/04/2020 | VID1-000754-en-US A
Chronic Achilles Tendon Rupture Repair
Chronic Achilles Tendon Rupture Repair
David I. Pedowitz, MD
05:59 | English | 12/16/2019 | VID1-000260-en-US A
Tibialis Anterior Reconstruction
Tibialis Anterior Reconstruction
David I. Pedowitz, MD
05:24 | English | 08/26/2019 | VID1-000259-en-US A

Presentation Videos (1)

Evolutions in Soft-Tissue Repair
Evolutions in Soft-Tissue Repair
Thomas O. Clanton, MD
03:11 | English | 08/26/2020 | VID1-000756-en-US A

Surgeon Newsletters (1)