{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T04:53:17Z","timestamp":1792558397944,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To report the mid-term results of flexor hallucis longus (FHL) tendon transfer for reconstruction of chronically ruptured Achilles tendons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>24 men and 12 women aged 56 to 78 (mean, 70) years underwent FHL tendon transfer for reconstruction of chronically ruptured Achilles tendons by a single surgeon. Ruptures were secondary to trauma (n=20), long-term steroid intake (n=12), or chronic renal failure (n=6). Two patients had bilateral ruptures. The mean interval from rupture to surgery was 15 (range, 12\u201324) weeks. Pre- and post-operative American Orthopaedic Foot and Ankle Society (AOFAS) hind foot scores were compared. Wound healing, push-off, and patient satisfaction were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean follow-up period was one year. The mean AOFAS scores were 69 (range, 58\u201376) preoperatively and 88 (range, 79\u201394) postoperatively; the mean improvement was 19 (p&lt;0.001). 28 patients had excellent and 8 had fair results. 33 patients graded their outcome as \u2018very satisfactory\u2019 and 3 as \u2018satisfactory\u2019. Five patients developed wound healing complications but only one needed debridement. There was no fixation-related complication or sural nerve injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Transfer of the FHL for reconstruction of chronically ruptured Achilles tendons is effective, safe and easily performed in patients with low-to-moderate demands.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949900901700215","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"194-198","source":"Crossref","is-referenced-by-count":52,"title":["Flexor Hallucis Longus Tendon Transfer for Reconstruction of Chronically Ruptured Achilles Tendons"],"prefix":"10.1177","volume":"17","author":[{"given":"Ravindra H","family":"Mahajan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh B","family":"Dalal","sequence":"additional","affiliation":[{"name":"Department Of Orthopaedics, Stepping Hill Hospital, Stockport NHS Foundation Trust, Stockport, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,8,1]]},"reference":[{"key":"bibr1-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30505-6"},{"key":"bibr2-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B3.11559"},{"key":"bibr3-230949900901700215","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173020-00009"},{"key":"bibr4-230949900901700215","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557020-00019"},{"key":"bibr5-230949900901700215","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195638010-00011"},{"key":"bibr6-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B3.3294839"},{"key":"bibr7-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31991-X"},{"key":"bibr8-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400803"},{"key":"bibr9-230949900901700215","unstructured":"White RK, Kraynick BM. Surgical uses of the peroneus brevis tendon. Surg Gynaecol Obstet 1959:117\u201321."},{"key":"bibr10-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196801000-00012"},{"key":"bibr11-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(96)80031-7"},{"key":"bibr12-230949900901700215","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/00003086-198809000-00035","volume":"234","author":"Lieberman JR","year":"1988","journal-title":"Clin Orthop Relat Res"},{"key":"bibr13-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.66B2.6707056"},{"key":"bibr14-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198901000-00029"},{"key":"bibr15-230949900901700215","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658070-00015"},{"key":"bibr16-230949900901700215","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20040102-15"},{"key":"bibr17-230949900901700215","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-20050701-10"},{"key":"bibr18-230949900901700215","volume-title":"Surgery of the foot and ankle","author":"Coughlin M","year":"1999","edition":"7"},{"key":"bibr19-230949900901700215","volume-title":"An atlas of foot and ankle surgery","author":"Wulker N","year":"1998"},{"key":"bibr20-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500803"},{"key":"bibr21-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-005-0314-y"},{"key":"bibr22-230949900901700215","volume-title":"McGlamry's comprehensive textbook of foot and ankle surgery","author":"Banks A","year":"2001","edition":"3"},{"key":"bibr23-230949900901700215","volume-title":"Functional reconstruction of the foot and ankle","author":"Hansen S","year":"2000"},{"key":"bibr24-230949900901700215","volume-title":"Surgery of disorders of the foot and ankle","author":"Hela B","year":"1996"},{"key":"bibr25-230949900901700215","volume-title":"Chirurgische Operationslehre","volume":"10","author":"Kremer K","year":"1997"},{"key":"bibr26-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-7091-6638-3"},{"key":"bibr27-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500906"},{"key":"bibr28-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100604"},{"key":"bibr29-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-003-0476-1"},{"key":"bibr30-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80222-2"},{"key":"bibr31-230949900901700215","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100160403"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900901700215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900901700215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:15:38Z","timestamp":1777594538000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900901700215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1177\/230949900901700215"],"URL":"https:\/\/doi.org\/10.1177\/230949900901700215","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,8]]}}}