PMC6796695_01
CT scan of right lower extremity.. Extensive air is shown tracking superiorly within the anterior and posterior compartments of the thigh (notated by white arrows).
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Imaging showed subcutaneous emphysema extending to the neck of the femur (Fig. 1).
Intra-operative photo of right lower extremity.. Taken during initial AKA revision and soft tissue debridement for extensive necrotizing infection.
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The patient therefore underwent 6 debridement surgeries over the next 14 days with the 1st surgery consisting of a revision amputation (Fig. 2).
Right lower extremity wound.. Integra graft over viable muscle of anterior, lateral, and posterior compartments of right thigh. Photo taken post-operative day #19 after AKA revision procedure.
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His wound at the time of discharge had healthy granulation tissue with a wound vac in place (Fig. 3).