The Role of Tendon Transfers in Chronic Achilles Tendon Ruptures

Chronic ruptures can be addressed with V-Y advancement, Achilles tendon turn down, and or FHL transfer. Previous literature has described the use of synthetic graft and peronius brevis transfers,. There are concerns of graft longevity and eversion weakness with these methods. The correct answer is gastrocnimius turn down repair augmented with transfer of the extensor digitromes longest.