This author details the surgical treatment of a calcaneal avulsion fracture in a 59-year-old patient with poor bone quality, who later required revisional surgery consisting of excision of fracture fragment and reattachment of the Achilles tendon.

In addition to assessing the mechanisms and impact of negative pressure wound therapy (NPWT) in lower extremity wound care, these authors discuss the advent of fluid installation therapy in thwarting complications, recent literature on the use of the modality for closed incision sites and wounds secondary to traumatic fractures, and the potential of portable NPWT for small wounds.