Heel pad avulsion
Severe case of heel pad avulsion following a bike accident! The patient was presented with injury to left ankle after a road accident. On clinical and radiological examination, there was avulsion of heel pad with calcaneal fracture and tendo-achilles rupture. It was managed with debridement of the wound, repair of tendo-achilles, and fixation of calcaneus and heel pad. In situations of partial avulsion of heel pad, when the sensations are intact and the heel pad is viable, it may be possible to debride and reattach the flap. One of the goals in the management of severe open injuries of the foot is to obtain adequate soft tissue coverage. Simple suturing to reattach the heel edges is not secure enough, or it can lead to increased wound pressure, resulting in wound breakdown, infection, and flap necrosis. Tag a friend and follow us at @Medicalpedia