{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:06Z","timestamp":1756321806122,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,5,14]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>The treatment of acute heel pad avulsion differs significantly from managing other soft tissue injuries due to its unique soft tissue structure. This case report outlines a scenario involving a male in his 20s who suffered heel pad avulsion without a calcaneal fracture but with an ipsilateral medial malleolus fracture after a twisting injury to the ankle caused by a road traffic accident. Immediate action was taken within 24 hours of the injury, involving thorough debridement of the wound, fixation to the calcaneum using multiple K-wires, primary suturing and internal fixation of the medial malleolus with two cannulated cancellous screws. Postoperative care included PRP (platelet-rich plasma) injections into the wound twice, removal of K-wires after 6\u2009weeks and allowing walking with full weight bearing after 8\u2009weeks. A year later, the wound had completely healed, and the patient was comfortably walking pain-free with full weight-bearing capabilities.<\/jats:p>","DOI":"10.1136\/bcr-2023-259424","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T23:45:53Z","timestamp":1716421553000},"page":"e259424","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Fixation with multiple K-wires and PRP injection as an effective way to manage heel pad avulsion"],"prefix":"10.1136","volume":"17","author":[{"given":"Samrat Smrutiranjan","family":"Sahoo","sequence":"first","affiliation":[{"name":"Orthopedics, All India Institute of Medical Sciences - Kalyani, Kalyani, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3339-2744","authenticated-orcid":false,"given":"Mainak","family":"Roy","sequence":"additional","affiliation":[{"name":"Orthopedics, All India Institute of Medical Sciences - Nagpur, Nagpur, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir Chandrakant","family":"Dwidmuthe","sequence":"additional","affiliation":[{"name":"Orthopedics, All India Institute of Medical Sciences - Nagpur, Nagpur, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Orthopedics, Apollo Sage Hospitals, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"2025082711383772000_17.5.e259424.1","doi-asserted-by":"crossref","first-page":"2429","DOI":"10.1007\/s00402-022-04439-9","article-title":"Complete avulsion of the heel pad with talar and calcaneal fracture: salvage with multiple K-wire anchorage, internal fixation and free ALT flap","volume":"143","author":"Herold","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025082711383772000_17.5.e259424.2","first-page":"44","article-title":"Partial heel pad avulsion with open calcaneal tuberosity fracture with tendo-achilles rupture: a case report","volume":"6","author":"Ahmed","year":"2016","journal-title":"J Orthop Case Rep"},{"key":"2025082711383772000_17.5.e259424.3","article-title":"Management of heel pad degloving injury after severe foot crush injury: a case report study","volume":"13","author":"Giotis","year":"2021","journal-title":"Cureus"},{"key":"2025082711383772000_17.5.e259424.4","doi-asserted-by":"crossref","DOI":"10.1097\/OI9.0000000000000007","article-title":"A salvage strategy for heel pad degloving injury: a case report","volume":"1","author":"Cantrell","year":"2018","journal-title":"OTA Int"},{"key":"2025082711383772000_17.5.e259424.5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.13107\/jocr.2022.v12.i06.2884","article-title":"Management of partial heel pad avulsion using multiple Kirschner wire anchorage technique","volume":"12","author":"Kantharaju","year":"2022","journal-title":"J Orthop Case Rep"},{"key":"2025082711383772000_17.5.e259424.6","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s12929-017-0324-1","article-title":"Treatment of chronic non-healing ulcers using autologous platelet rich plasma: a case series","volume":"24","author":"Suthar","year":"2017","journal-title":"J Biomed Sci"},{"key":"2025082711383772000_17.5.e259424.7","first-page":"107","article-title":"Platelet-rich plasma for the treatment of chronic wounds: evidence to date","volume":"4","author":"Conde-Montero","year":"2017","journal-title":"Chronic Wound Care Manag Res"},{"key":"2025082711383772000_17.5.e259424.8","doi-asserted-by":"crossref","DOI":"10.1093\/burnst\/tkaa028","article-title":"Platelet-rich plasma accelerates skin wound healing by promoting re-epithelialization","volume":"8","author":"Xu","year":"2020","journal-title":"Burns Trauma"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:38:44Z","timestamp":1756319924000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":8,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,22]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2023-259424"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259424","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}