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debridement with preservation of viable tissue, fracture Results of infrapopliteal endovascular procedures performed in diabetic
reduction, prevention of infection, and adequate soft tissue patients with critical limb ischemia and tissue loss from the perspective
reconstruction are important in the management of heel of an angiosome‑oriented revascularization strategy. Int J Vasc Med
2014;2014:270539.
pad avulsion injuries. The simplest and most appropriate 5. Attinger CE, Evans KK, Bulan E, Blume P, Cooper P. Angiosomes of the foot
technique is likely to produce the best outcome. This and ankle and clinical implications for limb salvage: reconstruction, incisions,
study presents a simple management algorithm for and revascularization. Plast Reconstr Surg 2006;117:S261‑93.
the management of various types of heel pad avulsion 6. Latham E, Hare MA, Neumeister M. Hyperbaric oxygen therapy. eMedicine.
In: Schraga ED, Windle ML, Scudder L, editors. Medscape. Available from:
injuries. HBO therapy may be used as a useful adjunct in http://www.emedicine.com/plastic/topic526.htm. [Last accessed on Aug 2014].
the treatment of such complicated injuries to offer speedy 7. Ulkür E, Karagoz H, Ergun O, Celikoz B, Yildiz S, Yildirim S. The effect
recovery as well as cost benefits. of hyperbaric oxygen therapy on the delay procedure. Plast Reconstr Surg
2007;119:86‑94.
8. Bhutani S, Vishwanath G. Hyperbaric oxygen and wound healing. Indian J
REFERENCES Plast Surg 2012;45:316‑24.
9. Kemmer A. Crush injury and other traumatic ischemia. In: Mathieu D, editor.
1. Mohammed R, Metikala S. Anchorage of partial avulsion of the heel pad with Handbook on Hyperbaric Medicine. Netherlands: Springer; 2006. p. 311‑2.
use of multiple kirschner wires. A report of four cases. JBJS Case Connect
2012;2:20.
2. Suri MP, Patel AG, Vora HJ, Raibagkar SC, Mehta DR, Vyas UH. Post‑traumatic How to cite this article: Mukundan PK, Ambookan PV. Heel pad
posterior heel soft tissue defect reconstruction. Indian J Plast Surg avulsion injury: an approach with hyperbaric oxygen therapy. Plast
2005;38:138‑43. Aesthet Res 2015;2:56-62.
3. Levin LS. Foot and ankle soft‑tissue deficiencies: who needs a flap? Am J Source of Support: Nil, Conflict of Interest: None declared.
Orthop (Belle Mead NJ) 2006;35:11‑9. Received: 19-08-2014; Accepted: 28-09-2014
4. Acín F, Varela C, López de Maturana I, de Haro J, Bleda S, Rodriguez‑Padilla J.

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