Abstract
Equine pericardium xenograft is now widely used to augment Achilles tendon repair.
In this article, we describe the case of a postoperative complication in a healthy
37-year-old male who underwent primary repair, augmented with equine pericardium,
of his acutely ruptured Achilles tendon. At 4 months postoperative, an indurated and
fluctuant subcutaneous soft tissue reaction was noted at the repair site. Further
questioning led the patient to recall having an allergy to horses, although it had
been a very long time since he had experienced any symptoms related to the allergy
and, as such, he failed to mention this important fact at the time of his initial
examination. At 11 months postoperative, the xenograft was removed and, thereafter,
the wound healed uneventfully. At 6 months following removal of the xenograft, the
patient displayed no evidence of allergy or Achilles tendon dysfunction.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: December 21, 2009
Footnotes
Financial Disclosure: None reported.
Conflicts of Interest Disclosure: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
