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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