Treatment of Large Recurrent Bilateral Xanthomatosis of Achilles Tendon- A Case Report.
BACKGROUND
Xanthomas of the Achilles tendon are a rare interesting orthopaedic condition. There are very few articles dealing with the treatment of recurrent xanthomatosis of tendoachilles. Here we report this patient with bilateral recurrent xanthomatosis of tendoachilles.


METHODS
A 37 year old male patient presented with multiple lesions in the body with bilateral swelling in the tendoachilles. The swelling was excised before three years elsewhere and there was recurrence of the lesion after 6 months subsequently. There was ulceration on the right side. The patient was treated by total resection of the lesion and reconstruction using tensorfascialata graft.


CONCLUSIONS
Complete excision of the lesion is needed to reduce recurrence. Reconstruction of the defect is a challenge due to the large defect. Tensorfascialata graft results in good functional outcome of the patient even in large defects.
Sri Ramachandra Medical college, 2A, Vivekanandha street, T. Nagar. Chennai-600017. India.
L
L
Senthil
Sri Ramachandra Medical college, 2A, Vivekanandha street, T. Nagar. Chennai-600017. India.
N
N
Jambu
Sri Ramachandra Medical college, 2A, Vivekanandha street, T. Nagar. Chennai-600017. India.
Samuel
S
Chittaranjan
Reconstruction with tensor fascialata; Recurrent Xanthomatosis