PMC3284276_01
Intra-operative picture of the right plantar forefoot wound (A) followed by a full thickness ulceration excision and a reverse flow digital artery pedicle flap for closure (B). Intra-operative picture showing the viability of the pedicle flap and harvesting of the STSG (C) for the donor site at the lateral aspect of the hallux (D). Clinical pictures showing the healed pedicle flap (E) and donor sites (F) at 9 weeks postoperatively. Long-term clinical outcomes at 26 weeks postoperatively (G, H).
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The foot was then loosely dressed with gauze to allow access to the pedicle flap for close monitoring every 2 h while the patient was in the hospital (Fig. 1).