Granuloma formation secondary to Achilles tendon repair with nonabsorbable suture


Kara A., Celik H., ŞEKER A. , Uysal M. A. , Uzun M., Malkoc M.

International Journal of Surgery Case Reports, cilt.5, sa.10, ss.720-722, 2014 (SCI Expanded İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 5 Konu: 10
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1016/j.ijscr.2014.07.026
  • Dergi Adı: International Journal of Surgery Case Reports
  • Sayfa Sayıları: ss.720-722

Özet

© 2014 The Authors.CONCLUSION: Although Ethibond suture is a strong and safe material for Achilles tendon repairs it may cause soft tissue problems such as granuloma.INTRODUCTION: Several complications can be observed after Achilles tendon repairs. In this study we aimed to report granuloma formation secondary to Achilles tendon repair with Ethibond (Ethicon INC, Somerville, New Jersey) suture.PRESENTATION OF CASE: A 31 year-old man operated for Achilles tendon rupture. The Ethibond suture was used for primary repair. The patient attended to polyclinic with the complaints of swelling and discharge around the operation site four months after operation. A mass around distal portion of the Achilles tendon was detected. The granulomatous tissue was excised. Inside the mass Ethibond suture was detected. On histopathologic examination, typical findings of the foreign body reaction were observed. No microorganism was cultivated in the tissue culture. The patient has no complaint on the twelfth month control after surgery.DISCUSSION: The results of primary repair of Achilles tendon are good but several complications were reported. In tendon repairs generally nonabsorbable sutures are used. The Ethibond is nonabsorbable, braided suture. In the literature, granuloma formations secondary to the suture materials such as polygylactine and braided polyethylen-polyester after Achilles tendon repair were reported but granuloma secondary to the Ethibond is very rare.