PMC9820788_01
Left anterior ankle wound with exposed tibialis anterior tendon and history of radiation treatment for squamous cell carcinoma 1 year prior in a 91-year-old patient with severe peripheral vascular disease and VI.
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F1
A 91-year-old woman with history of severe VI, PAD, hypertension, and lower extremity edema presented with a 9 x 10 cm wound of the left anterior ankle with exposure of the tibialis anterior tendon, stemming from radiation treatment of a squamous cell carcinoma 1 year prior (Fig. 1).
Left lower extremity angiography demonstrating chronic total occlusion of the anterior and posterior tibial arteries with single vessel peroneal runoff to the foot.
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F2
Angiography demonstrated chronic total occlusion of the anterior and posterior tibial arteries resistant to angioplasty, with single vessel peroneal runoff to the foot (Fig. 2).
Fully healed flap with smooth contour 9 months after RSAF reconstruction, anterior view.
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F3
Examination demonstrated a fully healed flap with complete coverage of the wound and appropriate contour (Figs. 3, 4).
Fully healed flap donor site 9 months after reconstruction, posterior view.
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F4
Examination demonstrated a fully healed flap with complete coverage of the wound and appropriate contour (Figs. 3, 4).
PMC9820788_02