Open AccessAchilles tendon reconstruction with peroneus tendon transfer following epithelioid sarcoma resection: a rare case report at 5 years follow‐up
Author(s) -
Mariotti Federica,
Caravelli Silvio,
Mosca Massimiliano,
Massimi Simone,
Casadei Roberto,
Zaffagnini Stefano
Publication year - 2020
Publication title -
journal of experimental orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 18
ISSN - 2197-1153
DOI - 10.1186/s40634-020-00233-x
Subject(s) - medicine , tendon , soft tissue , achilles tendon , fascia , plantar fascia , tendon transfer , anatomy , ankle , peroneus longus , orthopedic surgery , sarcoma , surgery , deep fascia , plantar fasciitis , pathology , heel
Abstract Background Soft‐tissue sarcomas (STS) are rare in hand and foot. In this paper we present a case of reconstruction of Achilles tendon defect with peroneus brevis transfer reinforced with medial gastrocnemius fascia and plantaris tendon after excision of a local recurrence of epithelioid sarcoma. Case presentation Fifty‐five years‐old female. MRI showed a lump of 5 × 2,5 × 2 cm into Achille’s tendon with invasion of the anterior fat tissue but no invasion of the surrounding bones. The patient underwent excision of the tumour and reconstruction of the tendinous defect with peroneus brevis transfer. Surgical technique has been widely described. Discussion and conclusions Epithelioid sarcoma arising from the Achilles tendon is an extremely rare malignant tumour in an atypical site and may easily be confused with other soft tissue masses. It presents a technical challenge because of the large tendon defect remaining following wide resection. Reconstruction with peroneus brevis transfer, reinforced with medial gastrocnemius fascia and plantaris tendon, restore appropriate structural continuity and resistance. Functional results are satisfactory.