Lakkireddy Maheshwar, Eppakayala Srikanth, Satapathy Deepankar, Maley Deepak Kumar, Ifthekar Syed
Department of Orthopaedics, All India Institute of Medical Sciences, Bibinagar, Telangana, India.
J Orthop Case Rep. 2025 Sep;15(9):199-203. doi: 10.13107/jocr.2025.v15.i09.6068.
Tendoachilles xanthomas are rare and generally asymptomatic swellings of tendoachilles. They are believed to be formed due to defects in lipid metabolism. Sometimes, these swellings become inflamed and become painful. If non-operative management fails, these patients are considered for surgery.
A 25-years-old male patient presented with complaints of progressive swellings on the posterior aspect of both heels for the past 5 years. The left leg swelling was painful for the past 6 months. After thorough evaluation, the patient was diagnosed with bilateral tendoachilles xanthoma with gout. Complete excision of the left xanthomatus tendoachilles and reconstruction of the defect with Flexor hallucis longus (FHL) tendon transfer was done. At 3 months, 6 months and 1 year follow-up; the patient was highly satisfied with the procedure, could walk normally, and stands on the tip of the toes.
Complete excision of the xanthoma and reconstruction of the defect is associated with reduced recurrence rates and complete functional restitution. Reconstruction with ipsilateral FHL tendon transfer is a reliable and effective procedure offering a good functional outcome without any complications.
跟腱黄色瘤是一种罕见的跟腱肿胀，通常无症状。它们被认为是由于脂质代谢缺陷而形成的。有时，这些肿胀会发炎并变得疼痛。如果非手术治疗失败，这些患者会考虑接受手术。
一名25岁男性患者，过去5年双足跟后部出现进行性肿胀。左腿肿胀在过去6个月中疼痛。经过全面评估，该患者被诊断为双侧跟腱黄色瘤伴痛风。对左侧黄色瘤样跟腱进行了完整切除，并采用拇长屈肌腱转移修复缺损。在3个月、6个月和1年的随访中；患者对手术非常满意，能够正常行走，并且可以用脚尖站立。
黄色瘤的完整切除和缺损修复与降低复发率及完全功能恢复相关。同侧拇长屈肌腱转移修复是一种可靠且有效的手术方法，能提供良好的功能结果且无任何并发症。
