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eISSN: 2581-9615 || CODEN: WJARAI || Impact Factor 8.2 ||  CrossRef DOI

Research and review articles are invited for publication in March 2026 (Volume 29, Issue 3) Submit manuscript

Use of a palmaris longus graft for the treatment of a chronic rupture of the extensor hallucis longus

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  • Use of a palmaris longus graft for the treatment of a chronic rupture of the extensor hallucis longus

Lamnaouar F *, Bachkira M, Nkesha N, Tabbak K, Kharroube M. A, Massoudi A and Rafai M

Traumatology and orthopedy department P32 CHU IBN Rochd Casablanca Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(02), 1252-1255
Article DOI: 10.30574/wjarr.2023.19.2.1716
DOI url: https://doi.org/10.30574/wjarr.2023.19.2.1716
 
Received on 16 July 2023; revised on 25 August 2023; accepted on 28 August 2023
 
Injuries of the extensor hallucis longus (EHL) tendon is relatively rare, but surgical repair is necessary to avoid deformity and gait disorders.
Primary suturing is always the best option when possible; in the case of chronic lesions, retraction makes this solution impossible, necessitating tendon transfer or grafting. We report here the case of a patient with a lacerated suture after primary repair following early mobilization. The patient complained of gait disturbance in the meantime, which led to consultation.
After resumption of the old approach and debridement, a 2cm gap persisted between the two tendon ends. a graft was harvested from the palmaris longus. This time, immobilization was performed using an arthrodesis pin. after removal of the pin and rehabilitation, there was a clear improvement.
The use of the palmaris longus brings the advantage of an adapted diameter which minimizes the phenomena of snagging due to fibrotic projections, and unlike other grafts, avoids affecting another healthy joint.
 
Extensor Hallucis Longus; Primary Repair; Secondary Repair; Tendon Graft
 
https://wjarr.com/sites/default/files/fulltext_pdf/WJARR-2023-1716.pdf

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Lamnaouar F, Bachkira M, Nkesha N, Tabbak K, Kharroube M. A, Massoudi A and Rafai M. Use of a palmaris longus graft for the treatment of a chronic rupture of the extensor hallucis longus. World Journal of Advanced Research and Reviews, 2023, 19(2), 1252-1255. Article DOI: https://doi.org/10.30574/wjarr.2023.19.2.1716

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