Table 2.

The advantages and disadvantages of different autograft options for surgical treatment of chronic ATRs.

	Pros	Cons
Flexor hallucis longus	•Close proximity to Achilles tendon •Synergistic with the Achilles •Biomechanically strong	•Objective weakness of big toe flexion
Peroneus brevis	•Biomechanically strong •Avoids big toe flexion weakness	•Weakness of ankle eversion •Shorter than other autograft options
Semitendinosus	•Long tendon which can be tripled/quadrupled to resemble the Achilles •Biomechanically very strong	•Donor site morbidity
Quadriceps	•Biomechanically very strong tendon •Can be harvested with a bone plug, allowing for bone to bone healing	•Can affect quadriceps strength •Risk of violating suprapatellar pouch •Short tendon