Rupture of the Achilles tendon can present several complications, one of which is suture granuloma. This tissue reaction against the suture material may represent a foreign body reaction, an end-stage response of the inflammatory wound-healing process to biomaterials. Suture granulomas can occur with both absorbable and non-absorbable suture materials, including silk as well. The following case presents delayed suture granuloma 30 years after open repair of the Achilles tendon with silk sutures.
A 38-year-old male presented to the orthopedic clinic with complaints of pain and swelling around the posterior part of the ankle for three months. Medical history The patient underwent an open repair of the Achilles tendon at three years of age due to a cut by a piece of glass. Physical examination An approximately 3 cm × 3 cm quasi-solid soft tissue mass that was painful with palpation was…
