• Jian Qi, Long Fang, Wei Hao, and Lin Zou.
• Department of Orthopedics, The 960th Hospital of PLA, Jinan, China.
• Medicine (Baltimore). 2023 Dec 8; 102 (49): e36247e36247.

RationaleCerebrotendinous xanthomatosis is a rare autosomal recessive metabolic disease. Surgical treatment is only indicated when the xanthoma becomes large, painful, and irritable with shoe wear. Reconstruction of the large defect following resection challenging, especially with resection of the entire Achilles tendon.Patient ConcernsWe report a case of bilateral Achilles tendon defects of 16 cm following resection of bilateral Achilles tendon xanthomata, with reconstruction using vascularized iliotibial tract. The patient had a good functional outcome with well-preserved strength and cosmesis.OutcomesReconstruction of a total Achilles tendon defect using Vascularized iliotibial tract is safe and effective.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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