PMC9826565_01
The magnetic resonance imaging images with tear at insertion of tendoachilles and degenerative changes in tendon with lipoma in the calcaneum.
JOCR-12-87-g001.jpg
PMC9826565_01_JOCR-12-87-g001.jpg
F1
Lipoma was located at junction of anterior process and body of calcaneum (Fig. 1).
The operative steps harvesting FHL graft and fixation of the same in calcaneum with interference screw.
JOCR-12-87-g002.jpg
PMC9826565_01_JOCR-12-87-g002.jpg
F2
Later, a guide pin is passed in calcaneum and 5 mm tunnel was created then FHL graft was passed through tunnel and fixed with the interference screw (Figs. 2 and 3).
Fluoroscopy images of the various steps of the surgery.
JOCR-12-87-g003.jpg
PMC9826565_01_JOCR-12-87-g003.jpg
F3
Later, a guide pin is passed in calcaneum and 5 mm tunnel was created then FHL graft was passed through tunnel and fixed with the interference screw (Figs. 2 and 3).
(a) Fiber wires passed from the substance of the tendon and fixed distally in calcaneum with double row anchors. (b) Cortical window for curettage of lipoma.
JOCR-12-87-g004.jpg
PMC9826565_01_JOCR-12-87-g004.jpg
F4
The wires from torn ends were pulled so that ends of the tendon comes closer and overlies on the bone (Fig. 4).
Pre- and post-operative X-ray images of the calcaneum (a) Pre-operative X-ray showing haglund deformity, lipoma in calcaneum, and degenerative calcification at insertion of tendon. (b) post-operative X-ray showing fixation of anchors, removal of haglund deformity, and filling of cavity with bone substitute (hydroxyapatite).
JOCR-12-87-g005.jpg
PMC9826565_01_JOCR-12-87-g005.jpg
F5
Post-operative X-ray shows removed lesion with cavity completely filled by bone graft substitute (Fig. 5).