Heel replantation

Area of Science:

• Orthopedic Surgery
• Reconstructive Surgery

Background:

• A 14-year-old male sustained an oblique heel amputation through the calcaneum.
• Replantation of the amputated heel fragment was performed.

Observation:

• The patient experienced postoperative venous insufficiency.
• This complication was noted despite successful replantation.

Findings:

• Venous insufficiency necessitated a secondary venous anastomosis procedure.
• Skin closure tension was identified as the likely cause of the venous compromise.

Implications:

• Careful attention to skin closure tension is crucial in complex replantation surgeries.
• This case highlights the importance of managing vascular compromise post-reconstruction.