{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:35Z","timestamp":1787755595613,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a 65-year-old man with complete heel pad avulsion and large full-thickness skin defect on the anterolateral foot and ankle. The heel pad was reattached to the calcaneus using two 1-0 nylon sutures with intravenous tubing pledgets. The defect was covered with an anterolateral thigh (ALT) flap. At 13 months postoperatively, the heel pad remained securely attached, and the ALT flap was healthy. The patient could fully weight bear and perform single-leg stance and calf raises without pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This novel approach to repairing complete heel pad avulsions has not been previously described. It offers a simple, cost-effective option, particularly suited for resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00160","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T18:00:28Z","timestamp":1754676028000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Complete Heel Pad Avulsion: Repair with Nylon Suture Anchors, IV Tubing Pledgets, and Anterolateral Thigh Flap"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3429-1251","authenticated-orcid":false,"given":"Christopha J.","family":"Knee","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7304-1661","authenticated-orcid":false,"given":"Ryan J.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9554-2264","authenticated-orcid":false,"given":"Isobel","family":"Yeap","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"},{"name":"Central Clinical School, Sydney Medical Program, University of Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3808-0742","authenticated-orcid":false,"given":"Bishoy","family":"Soliman","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9911-7863","authenticated-orcid":false,"given":"Juanita N.","family":"Chui","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4613-2653","authenticated-orcid":false,"given":"Michael J.","family":"Symes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"},{"name":"Department of Orthopaedic Surgery, St George Hospital, Kogarah, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2539-7994","authenticated-orcid":false,"given":"Andrew M.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"8","key":"bib1-20250809","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.1249\/MSS.0000000000000281","article-title":"Force-deformation properties of the human heel pad during barefoot walking","volume":"46","author":"Wearing","year":"2014","journal-title":"Med Sci Sports Exerc."},{"issue":"4","key":"bib2-20250809","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/SAP.0b013e3181851b55","article-title":"The heel: anatomy, blood supply, and the pathophysiology of pressure ulcers","volume":"62","author":"Cichowitz","year":"2009","journal-title":"Ann Plast Surg."},{"issue":"5","key":"bib3-20250809","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 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