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Bilateral giant cell tumor of tendo Achilles: A case series on reconstruction by peroneus brevis - tibialis posterior tendon
Affiliation:1. Department of Orthopaedics, SCB Medical College and Hospital, Cuttack, Odisha, 751003, India;2. Department of Orthopaedics, IMS and SUM Hospital, Siksha ‘O’ Anusandhan University, K-8, Kalinga Nagar, Bhubaneswar, Odisha, 751003, India;1. The Queen Elizabeth Hospital, Gayton Road, Kings Lynn, Norfolk, England PE30 4ET, United Kingdom;2. James Paget Hospital, Lowestoft Road Gorleston-on-Sea, Great Yarmouth NR31 6LA, United Kingdom;1. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong;2. Office of Student Affairs, Lingnan University, Hong Kong;3. Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong;4. Department of Biomedical Engineering, Faculty of Engineering, The Chinese University of Hong Kong, Hong Kong;5. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong;6. Faculty of Kinesiology, University of Calgary, Canada;7. National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK;1. Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA;2. Department of Orthopaedics and Rehabilitation, Stony Brook University, Stony Brook, NY, USA
Abstract:Giant cell tumor of tendon sheath usually is localized painless solitary benign swelling, which presents as a firm nodular gradually growing mass. Giant cell tumor is infrequent in the lower limb and its incidence in the tendo Achilles is rare. It is often diagnosed and treated conservatively as tendinitis in the initial stages. The slow growth and limited functional deficit is the reason for its late presentation where excision of the mass leaves a large residual defect, for which reconstruction of the tendo Achilles has to be done by mobilizing different tendons. A case series of bilateral giant cell tumor of tendo Achilles and study the functional outcome of the reconstructed tendo Achilles using peroneus brevis - tibialis posterior tendons - are presented. The outcome of reconstruction using peroneus brevis - tibialis posterior tendon gave satisfactory outcome at the end of one year.Level of evidenceLevel 4.
Keywords:Giant cell tumor  Achilles tendon  Reconstruction  Bilateral  Peroneus brevis  Tibialis posterior
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