Management of Partial Heel Pad Avulsion using Multiple Kirschner wire Anchorage Technique - Case Report
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H Kantharaju1, Devanshu Gupta2, Veena Kandan3
1Department of Orthopaedic Surgery, Government Medical College, Nagpur, Maharashtra, India.
Introduction:
Isolated Partial Heel pad injuries are very rare and management of heel pad injury is always a challenge to a surgeon because of its complex structure and precious blood supply. The goal of management is to preserve a viable heel pad for weight-bearing during normal gait.
Case Report:
A 46-year-old male sustained a right heel pad avulsion following motorcycle bike ac-cident. Examination showed contaminated wound, viable heel pad, and no bony injury. Within 6 h of trauma, we reattached partial heel pad avulsion using multiple Kirschner wires without wound closure and daily dressings. Full weight bearing started on 12th post-operative week.
Conclusion:
A partial heel pad avulsion can be managed using multiple Kirschner wire which is cost-effective and simple method. Partial-thickness avulsion injury has a better prognosis as com-pared to full-thickness heel pad avulsion injury, due to preserved periosteal blood supply.
