The Effects of Surgery on Achilles Tendon Rupture

Primary repair with a foot in maximal plantar flexion followed by a gradual stretching program is not a prudent option given the risk of Aquinas contracture and recurrent rupture. Flexor halicis longus or FHL is the preferred tendon transfer to augment tissue loss to due to its proximity and vascularity. Studies have consistently shown increased complication rates with operative management, however.