The management of heel pad tissue loss is challenging, particularly in patients with occlusive peripheral arterial disease with exposed calcaneum. Heel pad necrosis often results in osteomyelitis and amputation without timely and adequate interventions. Although successful revascularization appears to be limb saving in the majority of cases, there is still a significant number of patients who lose their limbs (Berceli et al, 1999). Delay in soft tissue cover over an exposed calcaneum can result in limb loss due to desiccation and osteomyelitis of the bone.