Repair of avulsion flap injury of heel by multiple point anchorage using Kirschner wires-a case series
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20222712Keywords:
Heel pad avulsion, Kirschner wire, DebridementAbstract
The heel pad is a dense band of fibrous tissue with complex anatomy. Injuries to heel pad are uncommon but very challenging due to its precarious blood supply. In this study we tried fixing acute heel pad avulsion injuries using multiple Kirschner wires and results were evaluated according to the American orthopedic foot and ankle society hind foot score. Results were excellent for 3 -out of 9 patients and good for 6 patients according to the AOFAHS scoring system. Anchorage of acute heel pad avulsion injuries using multiple Kirschner wires is an effective and reliable treatment modality.
References
Van Beek AL, Wavak PW, Zook EG. Replantation of the heel in a child. Ann Plast Surg. 1979;2(2):154-7.
Graf P, Kalpen A, Biemer E. Revascularisation versus reconstruction of degloving injuries of the heel: case report. Microsurgery. 1995;16(3):149-54.
Chu W, Liu S, Wang Y, Li J, Liu H. Compressed Fixation Combined with Vacuum- Assisted Closure for Treating Acute Injury of the Heel Fat Pad. Med Sci Monit. 2018;24:9466-72.
Hallock GG. The mangled foot and ankle: soft tissue salvage techniques. Clin Podiatr Med Surg. 2014;31(4):565-76.
Cichowitz A, Pan WR, Ashton M. The heel: anatomy, blood supply, and the pathophysiology of pressure ulcers. Ann Plast Surg. 2009;62(4):423-9.
Dhillon M, Aggarwal S, Dhatt S, Jain M. Epidemiological Pattern of Foot Injuries in India: Preliminary Assessment of Data from a Tertiary Hospital. J Postgraduate Med Educat Res. 2012;46:144-7.
Lai MF. Degloved sole and heel. Med J Aust. 1979;1(13):598-9.
Mohammed R, Metikala S. Anchorage of Partial Avulsion of the Heel Pad with Use of Multiple Kirschner Wires: A Report of Four Cases. JBJS Case Connect. 2012;2(2):e20.
Giotis D, Kotsias C, Plakoutsis S, Malahias MA, Konstantinidis C. Management of Heel Pad Degloving Injury After Severe Foot Crush Injury: A Case Report Study. Cureus. 2021;13(3):e14191.
Bojsen-Moller F, Flagstad KE. Plantar aponeurosis and internal architecture of the ball of the foot. J Anat. 1976;121(Pt 3):599-611.
Labler L, Rancan M, Mica L, Härter L, Mihic-Probst D, Keel M. Vacuum-assisted closure therapy increases local interleukin-8 and vascular endothelial growth factor levels in traumatic wounds. J Trauma. 2009;66(3):749-57.
Lee HJ, Kim JW, Oh CW. Negative pressure wound therapy for soft tissue injuries around the foot and ankle. J Orthop Surg Res. 2009;4:14.