Surgical harvest of flexor hallucis longus affects functional recovery, suggesting effective rehabilitation can mitigate impairment.
While FHL resection during FFF harvest is associated with significant transient functional impairment, structured rehabilitation facilitates substantial neuromuscular adaptation. By 12 months, patients achieve functional recovery comparable to those with an intact FHL, suggesting that FHL harvest is a viable option with manageable functional morbidity when surgically necessary for optimal flap dissection.
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Shan et al. (2026) studied this question.
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