Reconstruction of bilateral tendoachilles with fascia lata graft

Abstract

A 19 year old male presented with progressive enlargement of both tendoachilles for 2 years and difficulty in walking for 3 months. The neurological history and examination revealed progressive mental deterioration and ataxia. The blood investigation revealed hypercholesterolemia. We report this rare case of cerebrotendinous xanthomatosis with bilateral tendoachilles enlargement, which was treated by excision of bilateral tendoachilles and reconstruction with fascia lata. The American Orthopedic Foot and Ankle Society hindfoot score was 93/100 bilaterally and the subjective evaluation of the patient showed very good results.

Peroneal Tendon Reconstruction and Coverage for Treatment of Septic Peroneal Tenosynovitis: A Devastating Complication of Lateral Ankle Ligament Reconstruction With a Tendon Allograft

“…Given the amount of TFL that can be harvested, it has been found to be an optimal graft for use when a large width or length is required for reconstruction (40,41). Achilles tendon reconstruction with TFL has been shown to result in a return to function with minimal difficulty with ambulation 24 months postoperatively.…”