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modalities including negative pressure wound therapy and   environment which requires surgical intervention. Measures
          limited‑access  dressings  could  well  be  utilized  along  with   that could improve the outcome with the adjunct use of
          HBO therapy for the management of such challenging   HBO therapy should be considered [Figure 7].
          injuries. Complications and problems in wound healing are   In conclusion, the goal of management of heel pad
          bound to occur in crush injuries of the foot involving heel   avulsion  injuries  is  to  preserve  as  much  viable  heel  pad
          pad region. HBO therapy is an adjunct in the management   tissue  as  possible  and  to  provide  sensate,  stable  coverage.
          of  marginal tissues, but cannot  be utilized  in  an  avascular   Principles of wound management with wound evaluation,
















































          Figure 6: Algorithm for management for heel pad avulsion injuries in our institution



























          Figure 7: Hyperbaric oxygen therapy as an adjunct in the management of various patterns of heel pad avulsion injuries

          Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015                                             61
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