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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7, 968-971.
doi: 10.1302/0301-620X.91B7.22315  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Cadaver bone-tendon graft for xanthomatosis of the tendo Achillis

R. Scagnelli, MD, Orthopaedic Surgeon1; G. Bianco, MD, Orthopaedic Surgeon1; and D. Imarisio, MD, Orthopaedic Surgeon1

1 Department of Orthopaedics and Traumatology Ospedale Civile di Saluzzo, Via Spielberg 58, 12037 Saluzzo, Italy.

Correspondence should be sent to Dr D. Imarisio; e-mail: d.imarisio{at}libero.it

We describe a 63-year-old man who had xanthomatosis of the right tendo Achillis. He had undergone excision of the left tendo Achillis 17 years earlier without reconstruction for the same condition. The neurological history and examination were normal. Blood investigations showed hypercholestrolaemia, for which he was being treated with statins.

He was referred with pain in the right tendo Achillis and problems with footwear.

He was treated by excision of the right tendo Achillis, the xanthomatous nodules and the involved skin, followed by reconstruction with a cadaver bone-tendon graft. At follow-up eight months postoperatively, the scar had healed well. He walked without pain and could wear any type of shoe. Plain radiographs showed that the bone graft had healed. The American Orthopaedic Foot and Ankle Society hindfoot score was 95/100. The patient’s subjective evaluation of the result was very good.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General