fig1

Figure 1. An 8-year-old male with a shotgun wound to his left posterior heel (A). He had intact sensation in the forefoot and toes despite the devastating nature of the bony and soft-tissue injury, and, in discussion with his parents, the team proceeded with a reconstruction of the soft tissue deficit. View after transfer of a latissimus dorsi muscle free flap to the heel (B). He eventually healed and, at six months postoperatively, was running with a custom-made prosthesis despite losing his calcaneus.