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Reconstruction of bilateral tendoachilles with fascia lata graft
Authors:Vikas Saxena  Pavan Pradhan  Ashok Yadav  Neeraj Nathani
Affiliation:Department of Orthopedics, BRD Medical College, Gorakhpur, Uttar Pradesh, India;1.Department of Plastic Surgery, BRD Medical College, Gorakhpur, Uttar Pradesh, India
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.
Keywords:Fascia lata graft   tendoachilles   xanthomatosis
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