Soft tissue defects over the Achilles tendon present reconstructive challenges due to limited local tissue and poor vascularity. We report a case of Bilateral Achilles reconstruction using biodegradable temporising matrix (BTM) following tendon exposure. BTM intergration allowed subsequent split thickness skin grafting, achieving stable coverage without bilateral flap reconstruction in a paediatric patient. This case highlights BTM as a useful reconstructive adjunct for selected Achilles defects, potentially reducing the need for complex flap surgery. Reference: Mohan PB, Chittoria R, Ramalingam S, Reddy BP, Gupta K, Chakiath JA. Use of Biodegradable Temporizing Matrix for Pediatric Tendoachilles Exposure: A Novel Technique in Complex Traumatic Wound Management-A Case Report. Indian J Plast Surg. 2024 Aug 16;57(Suppl 1):S115-S117. doi: 10.1055/s-0044-1789006. PMID: 39741718; PMCID: PMC11684971.