PMC9852503_01
A 36-year-old male with a laceration to the left foot injury from broken porcelain shard. (A) Heel skin defect wound (7.5 x 6.0 x 0.8 cm), no bones and tendons exposed (Black arrows indicate arteries, yellow arrows indicate nerves, and blue arrows indicate veins). (B) The blood vessels and nerves are marked with 11-0 nylon under the microscope. (Red arrows indicate arteries, yellow arrows indicate nerves, and blue arrows indicate veins). (C) The replanted tissue immediately appeared healthy, following the operation.
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F1
The patient accidentally stepped on a porcelain bedpan while washing his feet, resulting in a wound bed measuring 7.5 x 6.0 x 0.8 cm, with no bone or tendon exposure (Figure 1A). Artery, vein, and nerve repair was identified and marked (Figure 1B). The peripheral veins (diameter, 0.6 mm) were easier to approach from the medial or lateral margin of the heel wound (Figure 1A). With the anastomosis complete, all temporary sutures were removed and the skin margin was sutured carefully with 5-0 Prolene (Figure 1C), ensuring no disruption of the arterial and venous anastomoses.
The patient demonstrated excellent aesthetic and functionality 37 months following the operation.
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F2
Follow-up examination at 37 months showed excellent aesthetic and functional results, with no development of trophic ulceration (Figure 2).