A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon

Traumatic rupture of the extensor hallucis longus (EHL) is an uncommon finding in an outpatient setting. Surgical repair is typically necessary, particularly in chronic conditions that have persisted for six weeks or more. While several studies have reported EHL repair using autograft tendons, rehab...

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Main Authors: Astuti Pitarini, Mitchel, Karina Sylvana Gani, Ratna Moniqa, Erica Kholinne
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2023-10-01
Series:The Ewha Medical Journal
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Online Access:http://www.e-emj.org/archive/view_article?pid=emj-46-4-20
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author Astuti Pitarini
Mitchel
Karina Sylvana Gani
Ratna Moniqa
Erica Kholinne
author_facet Astuti Pitarini
Mitchel
Karina Sylvana Gani
Ratna Moniqa
Erica Kholinne
author_sort Astuti Pitarini
collection DOAJ
description Traumatic rupture of the extensor hallucis longus (EHL) is an uncommon finding in an outpatient setting. Surgical repair is typically necessary, particularly in chronic conditions that have persisted for six weeks or more. While several studies have reported EHL repair using autograft tendons, rehabilitation regimes vary, and standardized protocols have not yet been established. This case report presents with an inability to extend her left great toe. She underwent tendon reconstruction with an autograft semitendinosus tendon. At an 8-week follow-up, the patient reported greatly improved outcomes on the American Orthopaedic Foot and Ankle Society, Foot and Ankle Ability Measure, Foot and Ankle Disability Index questionnaire. Full recovery was achieved 12 weeks after surgery. The use of autograft semitendinosus tendon repair for chronic EHL tendon rupture, in conjunction with rehabilitation program, can be expected to yield favorable results.
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publishDate 2023-10-01
publisher Ewha Womans University College of Medicine
record_format Article
series The Ewha Medical Journal
spelling doaj-art-2a11766cd5d4409da10f0f48973ebe1a2025-08-20T01:56:28ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912023-10-0146410.12771/emj.2023.e20emj-46-4-20A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus TendonAstuti PitariniMitchelKarina Sylvana GaniRatna MoniqaErica KholinneTraumatic rupture of the extensor hallucis longus (EHL) is an uncommon finding in an outpatient setting. Surgical repair is typically necessary, particularly in chronic conditions that have persisted for six weeks or more. While several studies have reported EHL repair using autograft tendons, rehabilitation regimes vary, and standardized protocols have not yet been established. This case report presents with an inability to extend her left great toe. She underwent tendon reconstruction with an autograft semitendinosus tendon. At an 8-week follow-up, the patient reported greatly improved outcomes on the American Orthopaedic Foot and Ankle Society, Foot and Ankle Ability Measure, Foot and Ankle Disability Index questionnaire. Full recovery was achieved 12 weeks after surgery. The use of autograft semitendinosus tendon repair for chronic EHL tendon rupture, in conjunction with rehabilitation program, can be expected to yield favorable results.http://www.e-emj.org/archive/view_article?pid=emj-46-4-20extensor hallucis longus tendonrupturehamstring tendonsrehabilitation
spellingShingle Astuti Pitarini
Mitchel
Karina Sylvana Gani
Ratna Moniqa
Erica Kholinne
A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
The Ewha Medical Journal
extensor hallucis longus tendon
rupture
hamstring tendons
rehabilitation
title A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
title_full A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
title_fullStr A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
title_full_unstemmed A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
title_short A 12-Week Rehabilitation Protocol for the Management of Chronic Extensor Hallucis Longus Rupture Repaired with an Autograft of the Semitendinosus Tendon
title_sort 12 week rehabilitation protocol for the management of chronic extensor hallucis longus rupture repaired with an autograft of the semitendinosus tendon
topic extensor hallucis longus tendon
rupture
hamstring tendons
rehabilitation
url http://www.e-emj.org/archive/view_article?pid=emj-46-4-20
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