Minimally invasive excision and reconstruction of Achilles tendon xanthoma using free autologous semitendinosus tendon transfer: a surgical technique

Oliva, Francesco; Marsilio, Emanuela; Mastrodonato, Federica; Migliorini, Filippo; Maffulli, Nicola

Abstract

Background: Tendon xanthomatosis is often associated with familial hypercholesterolemia, but it can also occur in other medical conditions. The Achilles tendon is the most common site of tendon xanthomas. Reconstruction of large defects after the xanthoma excision, can be challenging.

Methods: We propose a novel technique for Achilles tendon reconstruction with the use of an ipsilateral autologous semitendinosus tendon graft. The technique consists of six steps.

Results: This procedure has a low rate of complications and provides results that are at least comparable with those reported with other surgical approaches.

Citation

Oliva, F., Marsilio, E., Mastrodonato, F., Migliorini, F., & Maffulli, N. (in press). Minimally invasive excision and reconstruction of Achilles tendon xanthoma using free autologous semitendinosus tendon transfer: a surgical technique. Journal of Orthopaedic Surgery and Research, 18(1), https://doi.org/10.1186/s13018-023-03757-x

• Journal Article Type: Article
• Acceptance Date: Mar 26, 2023
• Online Publication Date: Apr 4, 2023
• Deposit Date: Dec 14, 2023
• Journal: Journal of Orthopaedic Surgery and Research
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 18
• Issue: 1
• DOI: https://doi.org/10.1186/s13018-023-03757-x
• Keywords: Orthopedics and Sports Medicine; Surgery
• Additional Information: Received: 28 February 2023; Accepted: 26 March 2023; First Online: 4 April 2023; : ; : This study complies with ethical standards.; : Written informed consent for publication of their clinical images was obtained from the patient.; : The present review was not registered.; : The authors declare that they have no conflicts of interest. Professor Maffulli is the Editor in Chief of the Journal of Orthopaedic Surgery and Research.