PMC6350014_01
Left below-knee amputation stump. Insufficient local soft tissue for coverage can be appreciated, preventing tension-free closure.
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There was insufficient local soft tissue for coverage of the left below-knee amputation stump, preventing tension-free closure (Figure 1).
The right amputated lower limb (above-knee amputation), used for fillet flap harvest. The spared distal soft tissue can be appreciated.
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The right amputated lower limb (above-knee amputation) was crushed at the proximal portion but the distal soft tissue was spared (Figure 2).
Sole fillet flap after harvest.
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A sole fillet flap (Figure 3) and a split-thickness skin grafts were therefore harvested from the right amputated lower extremity.
Flap after inset. Adequate perfusion can be appreciated.
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The flap was well vascularized intra-operatively with good arterial flow and venous return (Figure 4).