Excision and Reconstruction of Alveolar Rhabdomyosarcoma Involving the Achilles Tendon in a Pediatric Patient

• DOI: 10.2106/jbjs.cc.20.00263
• Publication Date: 2021-04-23T03:22:12Z
• Authors: Joseph Koressel; Matthew Stein; Viviana M. Serra ...; Tricia R. Bhatti; Alexandre Arkader
• Keywords: Male; 03 medical and health sciences; 0302 clinical medicine; Humans; Transplantation, Homologous; Range of Motion, Articular; Plastic Surgery Procedures; Child; Achilles Tendon; Rhabdomyosarcoma, Alveolar; 3. Good health

Case: We describe a case of a 9-year-old boy who presented with a left calf mass consistent with alveolar rhabdomyosarcoma involving the Achilles tendon. The patient underwent radical resection of the Achilles tendon and Achilles tendon allograft reconstruction. At 2.5-year follow-up, the child had full ankle range of motion and strength and no signs of disease.

Conclusions: Radical resection of Achilles tendon in the setting of malignancy and reconstruction with allograft is a rare procedure that has not been previously described in the pediatric population. Orthopaedic oncologists can consider this option for the rare malignancies involving the Achilles tendon.