Evidence map›Paper›PMID 41228119›Full record

ReviewHealthcare (Basel, Switzerland)2025

Isolated Flexor Hallucis Longus Tendon Transfer for Chronic Achilles Tendon Rupture: Systematic Review and Meta-Analysis.

Yasmine J Khair, Hugh Milchem, Maamoun Adra, Anthony Fong, Thant Htoo Nyan, Shayndhan Sivanathan, Hayato Nakanishi, Christian A Than, Nadim Tarazi, Constantinos Loizou and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yasmine J KhairSchool of Medicine, University of Nicosia, 2417 Nicosia, Cyprus.ORCID 0009-0003-1656-5567
Hugh MilchemSchool of Medicine, University of Nicosia, 2417 Nicosia, Cyprus.ORCID 0009-0006-7023-4584
Maamoun AdraCambridge University Hospitals NHS Foundation Trust, Cambridgeshire CB2 0QQ, UK.
Anthony FongSchool of Health & Medical Sciences, St George's University of London, London SW17 0RE, UK.
Thant Htoo NyanMid and South Essex NHS Foundation Trust, Westcliff-on-Sea SS0 0RY, UK.ORCID 0009-0003-1297-913X
Shayndhan SivanathanOxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK.
Hayato NakanishiDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Christian A ThanCambridge University Hospitals NHS Foundation Trust, Cambridgeshire CB2 0QQ, UK.ORCID 0000-0002-4193-9925
Nadim TaraziCambridge University Hospitals NHS Foundation Trust, Cambridgeshire CB2 0QQ, UK.ORCID 0000-0002-5748-0901
Constantinos LoizouOxford University Hospitals NHS Foundation Trust, Nuffield Orthopaedic Centre, Windmill Rd, Oxford OX3 7LD, UK.
Marcus MummeSportClinic Zürich, Klinik Hirslanden, 8032 Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Achilles tendon ruptures (CATRs) pose a clinical challenge because guidelines on optimal treatment modalities are lacking. This meta-analysis aims to investigate the use of Flexor Hallucis Longus (FHL) tendon transfer as a treatment option.

methodsA literature search was performed across multiple databases from inception until 31 July 2025. The databases searched included Ovid MEDLINE

resultsSixteen studies met the eligibility criteria with 323 patients. For functionality, baseline AOFAS-AH (American Orthopaedic Foot & Ankle Society-Ankle Hindfoot) scores were 56.85 (95% CI: 51.03-62.68, I

conclusionsSurgical management of CATR patients with FHL tendon transfer appears to improve functionality and subjective outcomes, supporting its use amongst the treatment modalities available.

Indexed as

Achilles repairautograftcalcaneal rupturerepairtendon injuriestendon transfer

Identifiers

PMID41228119
PMCPMC12607451

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.