title: Reconstruction of the heel pad in ankle disarticulation with a free muscle transfer.
abstract: An otherwise healthy 17-year-old young man developed bilateral heel pad necrosis due to meningococcemia, adult respiratory distress syndrome, and disseminated intravascular coagulation. Bilateral ankle disarticulation amputations were salvaged by use of a dorsally based local flap on one residual limb and a free muscle transfer to reconstruct the weight-bearing surface of the contralateral residual limb. The case report illustrates two methods of unusual salvage of the end-bearing, weight-bearing surface of the residual limbs in a bilateral end-bearing amputation.
authors.affiliation: Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, Illinois, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Pinzur
authors.forename: R
authors.initials: R
authors.lastname: Izquierdo
mesh_terms: D000293:Adolescent; D000671:Amputation, Surgical; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D005528:Foot / Q000601:surgery*; D006365:Heel / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications; D018482:Muscle, Skeletal / Q000637:transplantation*; D009336:Necrosis; D012128:Respiratory Distress Syndrome / Q000150:complications