PMC4604747_01
Liquification necrosis
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F1
Planta pedis, heel and toe region remained intact (Figure 1 (Fig. 1)).
After debridement and wound bed preparation
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F2
During surgical debridement we discovered a full-thickness liquefactive necrosis involving the tendons of the Musculus extensor digitorum longus (Figure 2 (Fig. 2)).
Nine weeks post-op
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F3
The initial care was performed by our outpatient unit with weekly follow-up visits and short-term visits after 9 weeks (Figure 3 (Fig. 3)) and 5 months post surgery (Figure 4 (Fig. 4)).
Five month post-op
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F4
The initial care was performed by our outpatient unit with weekly follow-up visits and short-term visits after 9 weeks (Figure 3 (Fig. 3)) and 5 months post surgery (Figure 4 (Fig. 4)).
Intraoperative marking
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F5
We chose a preauricular incision and dissected the temporal fascia under constant surveillance of the superficial temporal artery and without crossing Pitanguy's line (Figure 5 (Fig. 5) and Figure 6 (Fig. 6)).
Temporoparietal fascial flap
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F6
We chose a preauricular incision and dissected the temporal fascia under constant surveillance of the superficial temporal artery and without crossing Pitanguy's line (Figure 5 (Fig. 5) and Figure 6 (Fig. 6)).
Recipient site
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F7
Simultanously the preparation of the recipient vessels was performed, including the dorsalis pedis artery with two concomitant veins (Figure 7 (Fig. 7)).
Temporoparietal fascial flap with skin-graft
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F8
Eventually we took a split-thickness skin graft from the patient's ipsilateral thigh and covered the flap (Figure 8 (Fig. 8)).