title: Reconstruction of healed elongated anterior tibial and extensor hallucis longus tendons in a young active farmer.
abstract: A case of open traumatic lacerations of the anterior tibial tendon (ATT) and extensor hallucis longus (EHL) tendon that both healed in continuity but significantly elongated position following primary repair, resulting in foot drop and sagging of the great toe affecting gait and function, is presented. An adequate immobilization and protection in the early post-operative period is very important and a secure technique for reconstructing a healed elongated anterior tibial tendon is described.
authors.affiliation: Department of Trauma & Orthopaedics, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK. Electronic address: johnwong@doctors.org.uk.
authors.forename: John
authors.initials: J
authors.lastname: Wong-Chung
authors.affiliation: Department of Trauma & Orthopaedics, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Lynch-Wong
authors.affiliation: Department of Trauma & Orthopaedics, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK.
authors.forename: Desmond
authors.initials: D
authors.lastname: Gibson
authors.affiliation: Department of Trauma & Orthopaedics, Altnagelvin Hospital, Glenshane Road, Londonderry BT47 6SB, Northern Ireland, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Stokes
mesh_terms: D000067565:Farmers; D006801:Humans; D008297:Male; D060051:Occupational Injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013708:Tendon Injuries / Q000601:surgery*; D055815:Young Adult
keywords: Anterior tibial tendon laceration; Anterior tibial tendon reconstruction; Healed elongated anterior tibial tendon; Post-operative immobilization