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Severe Bone Wax Foreign-Body Reaction Causing Peroneal Tendon Destruction

Nicole Allen-Wilson University Hospitals Richmond Medical Center, Richmond Heights, OH.

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Richard Beatty University Hospitals Richmond Medical Center, Richmond Heights, OH.

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Jonathan Sharpe Advanced Foot and Ankle Surgery Fellowship and Faculty Podiatric Medical Surgical Residency, University Hospitals Richmond Medical Center, Richmond Heights, OH.

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Bone wax is commonly used in orthopedic procedures for the hemostatic control of cancellous bone bleeding. Herein, ordinary bone wax was used to stop bleeding intraoperatively at the site of a peroneal tubercle resection. Five months postoperatively, a symptomatic retrofibular mass was removed. Gross examination showed severe peroneal tendon destruction associated with the mass. Microscopic examination diagnosed a bone wax granuloma. To our knowledge, this is the first case of significant tendon and nerve damage resulting from a bone wax foreign-body granuloma.

Corresponding author: Jonathan Sharpe, DPM, Orthopedic Associates of Lake County, 7551 Fredle Dr, Concord, OH 44077. (E-mail: jsharpe@ortholake.com)