Heel pad avulsion injury:an approach with hyperbaric oxygen therapy
Heel pad avulsion injury: an approach with hyperbaric oxygen therapy作者机构：Department of Plastic Surgery and BurnsJubilee Institute of Surgery for HandAesthetic and MicrosurgeryJubilee Mission Medical College and Research InstituteThrissur 680007KeralaIndia
出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)
年 卷 期：2015年第2卷第1期
页 面：56-62页
学科分类：1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 100215[医学-康复医学与理疗学] 10[医学]
主 题：Angiosome heel pad avulsion hyperbaric oxygen therapy soft tissue reconstruction
摘 要：Aim:Crush injuries of the foot are often associated with partial or complete degloving of the heel *** purpose of this study is to present an algorithm for the management of various types of heel pad avulsion injuries,including hyperbaric oxygen(HBO)therapy in the treatment ***:We present a prospective study of 27 patients with various types of heel pad avulsion managed in our institution from December 2012 to June *** pad avulsion injuries were classified according to the angiosomal *** or complete avulsions were classified and treated *** therapy was administered *** postoperative period,hospital course,and follow-up were documented in patients with heel pad avulsion ***:Of 27 patients,20 cases presented with partial avulsion and 7 cases were complete *** 20 cases of partial avulsion,one of the flaps was anchored with *** cases of partial heel pad avulsion were managed by *** patients out of 20 required skin grafting as a secondary procedure at a later *** of 7 cases of complete avulsion,one was managed by full-thickness skin grafting,one case by reverse sural artery flap coverage,and four cases were managed by free tissue *** flap revisions were required,and no complications were experienced for the transferred ***:HBO therapy may be a useful adjunct in the treatment of heel pad avulsion injuries.
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