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April 9, 2026Annals of African Medicine

Neglected TA Rupture Repair by Gastrocnemius Turn-down Flap and Flexor Hallucis Longus Augmentation Using Screws

Devarshi Rastogi Brij Mohan Patel Mayank Mahendra Shatakshi Pant Kumar Shantanu

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Key Points

To evaluate the effectiveness of gastrocnemius turn-down flap reconstruction combined with flexor hallucis longus augmentation in treating neglected Achilles tendon ruptures.
Conducting flap reconstruction using gastrocnemius muscle.
Augmentation with flexor hallucis longus tendon.
Using screws for secure attachment during repair.
Significant functional improvement observed post-reconstruction.
Enhanced stability and strength of the repaired tendon.

Implication

Neglected achilles tendon ruptures show improved function with gastrocnemius flap and FHL augmentation, indicating effective repair.

Abstract

Gastrocnemius turn-down flap reconstruction with FHL augmentation yields significant functional improvement in neglected Achilles tendon ruptures.

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Cite This Study

Rastogi et al. (2026) studied this question.

synapsesocial.com/papers/69db37964fe01fead37c5a7f https://doi.org/10.4103/aam.aam_878_25

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Treatment for Neglected Achilles Tendon Rupture: Combined Gastrocnemius Turndown Flap and Flexor Hallucis Longus Transfer in Young Active Patients Using Dual Incision2025
2Central Strap Gastrocnemius Aponeurosis Turn-Down Flap Reconstruction for Chronic Achilles Tendon Ruptures With Large Defects: A Case Series and Frontal Plane 180-Degree Rotation Technique GuideCase Report · 2026
3Flexor Hallucis Longus Transfer With Concurrent Gastrocnemius Augmentation in Neglected Tendoachilles Tears: A Case Series2024
4Assessing Functional Outcomes and Complications After Turndown Flap With Flexor Hallucis Longus Augmentation in Chronic Achilles Tendon RupturesRetrospective Study · 2026
5FUNCTIONAL OUTCOME OF END-TO-END REPAIR AND FLEXOR HALLUCIS LONGUS AUGMENTATION IN TENDO-ACHILLES RUPTURE-A PROSPECTIVE STUDY2025